Organization
PODIATRISTS PC
Active
Organization
PODIATRISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN F HAMM DPM (PRESIDENT)
(319) 364-0297
Entity
Organization
Contact information
Practice address
1300 2ND AVE SE, CEDAR RAPIDS, IA 52403-4008
(319) 364-0297
(319) 364-0298
Mailing address
1300 2ND AVE SE, CEDAR RAPIDS, IA 52403-4008
(319) 364-0297
(319) 364-0298
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
000320
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002725
—
IA
01
—
00272
BLUE CROSS BLUE SHIELD
IA
Enumeration date
06/11/2008
Last updated
06/11/2008
Update your record
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