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Organization

CEDAR VALLEY PODIATRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROXANNE M MASTELLER (OFFICE MANAGER)
(319) 277-4508
Entity
Organization

Contact information

Practice address
1600 1ST ST E, INDEPENDENCE, IA 50644-3155
(319) 332-0950
Mailing address
4508 CHADWICK RD, CEDAR FALLS, IA 50613-7958
(319) 277-4508
(319) 277-8908

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000836
IA

Other

Enumeration date
04/09/2009
Last updated
10/13/2010
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