Individual
DR. HEATHER LEIGH PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5409 AVENUE O, FORT MADISON, IA 52627-9601
(319) 376-2134
Mailing address
5409 AVENUE O, FORT MADISON, IA 52627-9601
(319) 376-2134
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000859
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000859
—
IA
Enumeration date
05/27/2009
Last updated
04/06/2021
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