Individual
DR. BRANDEN Y ITOTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-2112
Mailing address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-2112
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
131939
IA
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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