Organization
FOOT & ANKLE ASSOCIATES OF SIOUXLAND, P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN K COFFIN (OFFICE MANAGER)
(712) 255-5048
Entity
Organization
Contact information
Practice address
3450 S LAKEPORT ST, SUITE B, SIOUX CITY, IA 51106-4543
(712) 255-5048
(712) 255-5263
Mailing address
3450 S LAKEPORT ST, SUITE B, SIOUX CITY, IA 51106-4543
(712) 255-5048
(712) 255-5263
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
362
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184655
—
IA
Enumeration date
06/15/2010
Last updated
06/15/2010
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