NPI 1922304682 · live from the CMS NPI Registry
Foot And Ankle Clinic, PC
Podiatrist, Foot & Ankle Surgery in Blair, NE. National Provider Identifier 1922304682, active.
NPI record
| NPI | 1922304682 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 810 N 22nd St, Blair, NE 68008 |
| Practice phone | 402-426-1239 |
| Mailing address | 1502 Pierce St, Sioux City, IA 51105 |
| Enumerated | January 28, 2011 |
| Last updated | June 14, 2016 |
| Authorized official | Kham Ung, President/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 00505 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.