Organization
IOWA PODIATRY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A RUSSO (PRESIDENT)
(641) 750-7185
Entity
Organization
Contact information
Practice address
2958 INGRAM AVE, MELBOURNE, IA 50162-9559
(641) 750-7185
Mailing address
2958 INGRAM AVE, MELBOURNE, IA 50162-9559
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00749
IA
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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