NPI 1205012564 · live from the CMS NPI Registry
Foot First Podiatry Centers, V.P.C.
Podiatrist, Foot & Ankle Surgery in Davenport, IA. National Provider Identifier 1205012564, active.
NPI record
| NPI | 1205012564 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 2303 E 53rd St, Suite 3, Davenport, IA 52807 |
| Practice phone | 563-441-0462 |
| Mailing address | 1601 W Wise Rd, Schaumburg, IL 60193 |
| Enumerated | January 17, 2008 |
| Last updated | June 25, 2008 |
| Authorized official | Keith Sklar, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 016005148 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.