Organization
SHOE MATE
Active
Organization
SHOE MATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAL MEAD PEDORTHIST (OWNER)
(515) 205-1811
Entity
Organization
Contact information
Practice address
1011 88TH ST, WEST DES MOINES, IA 50266-5857
(515) 205-1811
(515) 453-8429
Mailing address
6750 WESTOWN PKWY STE 200, WEST DES MOINES, IA 50266-7717
(515) 205-8111
(515) 453-8429
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
10/29/2018
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