Organization
JOHN SHERRY DPM PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SHERRY DPM (PODIATRIST)
(319) 331-5194
Entity
Organization
Contact information
Practice address
1505 MALL DR, IOWA CITY, IA 52240-3111
(319) 337-2135
Mailing address
1505 MALL DR, IOWA CITY, IA 52240-3111
(319) 337-2135
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
IA00426
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217356
—
IA
01
—
21735
BLUE CROSS BLUE SHIELD
—
01
—
3715
MIDLANDS CHOICE
—
Enumeration date
03/02/2016
Last updated
03/02/2016
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