Organization
FOOT AND ANKLE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHAM VAY UNG DPM (PRESIDENT/OWNER)
(712) 255-0502
Entity
Organization
Contact information
Practice address
1502 PIERCE ST, SIOUX CITY, IA 51105-1246
(712) 255-0502
(712) 258-9977
Mailing address
1502 PIERCE ST, SIOUX CITY, IA 51105-1246
(712) 255-0502
(712) 258-9977
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00505
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0476317
—
IA
05
—
6800454
—
SD
05
—
6800690
—
SD
05
—
6800700
—
SD
Enumeration date
08/25/2006
Last updated
01/29/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us