DR. Jim Paul Licandro, DPM

NPI #1609873538 in Long Grove, Iowa

Provider Information

NPI Number
1609873538
Entity Type
Individual
Name
DR. Jim Paul Licandro, DPM
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Podiatrist
Credential
DPM
Enumeration Date
Jul 7, 2005
Last Updated
Jul 22, 2018

Practice Location

Address
405 WOODLAWN RD
State
Iowa
ZIP Code
52756
Phone
(832) 425-7457

Specialties & Taxonomy Codes

Specialty
Podiatrist

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