Area Wide Foot & Ankle Center, P.c.

NPI #1336327642 in Bettendorf, Iowa

Provider Information

NPI Number
1336327642
Entity Type
Organization
Organization Name
Area Wide Foot & Ankle Center, P.c.
Primary Specialty
Clinic/Center - Podiatric
Enumeration Date
Feb 8, 2008
Last Updated
Mar 8, 2008

Practice Location

Address
1967 SPRUCE HILLS DR
State
Iowa
ZIP Code
52722-2624
Phone
(563) 441-0117

Authorized Official

Name
DR. JIM PAUL LICANDRO, D.P.M.
Title
OWNER
Phone
(563) 441-0117

Specialties & Taxonomy Codes

Specialty
Podiatrist
Clinic/Center - PodiatricPodiatric

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Provider Name
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Part of Gundersen Clinic, Ltd.

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