Swfac Plc
NPI #1902018112 in Council Bluffs, Iowa
Provider Information
- NPI Number
- 1902018112
- Entity Type
- Organization
- Organization Name
- Swfac Plc
- Primary Specialty
- Podiatrist
- Enumeration Date
- May 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 103 NORTH AVE
- City
- Council Bluffs
- State
- Iowa
- ZIP Code
- 51503
- Phone
- (712) 322-5800
Authorized Official
- Name
- ANDREW C STANISLAV, DPM
- Title
- OWNER
- Phone
- (712) 623-5178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
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