Swfac Plc

NPI #1013029081 in Red Oak, Iowa

Provider Information

NPI Number: 1013029081
Entity Type: Organization
Organization Name: Swfac Plc
Primary Specialty: Podiatrist
Enumeration Date: Aug 31, 2006
Last Updated: Mar 18, 2010

Practice Location

Address: 502 E REED ST
City: Red Oak
State: Iowa
ZIP Code: 51566-2350
Phone: (712) 623-5178

Authorized Official

Name: ANDREW C STANISLAV, DPM
Title: OWNER
Phone: (712) 623-5178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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