Organization
SMITH FOOT CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI FROST (OFFICE MANAGER)
(641) 752-4639
Entity
Organization
Contact information
Practice address
311 W MAIN ST, MARSHALLTOWN, IA 50158-0879
(641) 752-4639
(641) 752-2164
Mailing address
PO BOX 879, 311 W MAIN ST, MARSHALLTOWN, IA 50158-0879
(641) 752-4639
(641) 752-2164
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00464
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3265694
—
IA
Enumeration date
08/07/2006
Last updated
11/27/2012
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