Fountain Foot Clinic PC

NPI #1578765087 in Lincoln, Nebraska

Provider Information

NPI Number: 1578765087
Entity Type: Organization
Organization Name: Fountain Foot Clinic PC
Primary Specialty: Podiatrist
Enumeration Date: Jun 5, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5835 VINE ST
City: Lincoln
State: Nebraska
ZIP Code: 68505-2847
Phone: (402) 466-5677

Authorized Official

Name: DALE MEIER FOUNTAIN, D.P.M.
Title: OWNER
Phone: (402) 466-5677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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