NPI 1467635318 · live from the CMS NPI Registry
Edward N Prikaszczikow
Podiatrist in Council Bluffs, IA. National Provider Identifier 1467635318, active.
NPI record
| NPI | 1467635318 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 320 Mckenzie Ave, #102, Council Bluffs, IA 51503 |
| Practice phone | 712-328-0297 |
| Enumerated | December 14, 2007 |
| Last updated | November 1, 2010 |
| Authorized official | Edward Prikaszczikow, Owner |
| Other names | Council Bluffs Foot & Ankle Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 368 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.