Organization
FOOT AND ANKLE INSTITUTE, PLLC
Active
Other names
Foot and Ankle Institute of Iowa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDOLPH LA FONTANT DPM (PRESIDENT)
(515) 223-5219
Entity
Organization
Contact information
Practice address
3613 BEAVER AVE, DES MOINES, IA 50310-3273
(515) 223-5219
(515) 223-9344
Mailing address
3613 BEAVER AVE, DES MOINES, IA 50310-3273
(515) 223-5219
(515) 223-9344
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00597
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS1680
RAILROAD MEDICARE
IA
01
—
I7655
MEDICARE ID-TYPE UNSPECIFIED
IA
Enumeration date
09/02/2009
Last updated
05/14/2021
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