Quad Cities Family Foot And Ankle Specialists

NPI 1285811471 - Podiatrist - 213ES0103X

NPI Details
NPI 1285811471
Enumeration Date 01/30/2008
Last Updated 02/14/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MATTHEW ROBERT MATTHEW
Position OWNER
Phone (562) 324-2313
Fax (562) 324-7483
Practice Location
121 W LOCUST ST
#207
DAVENPORT IA, 52803-2827, US
Phone (562) 324-2313
Fax (562) 324-7483
Business Location
121 W LOCUST ST
#207
DAVENPORT IA, 52803-2827, US
Phone (562) 324-2313
Fax (562) 324-7483
Toxanomy
Taxonomy Code 213ES0103X
License State Iowa
License Number 639
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According to our database, Quad Cities Family Foot And Ankle Specialists NPI is 1285811471, taxonomy code is 213ES0103X and license number is 639, license state is located at Iowa. Quad Cities Family Foot And Ankle Specialists physically located at 121 W Locust St, Davenport IA, 52803-2827. NPI Number 1033115704 has the healthcare provider type.

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1285811471 NPI number is provided on an as is basis without warranty of any kind. 1285811471 is maintained by the National Plan & Provider Enumeration System. The contents of Quad Cities Family Foot And Ankle Specialists are for informational purposes only.