NPI 1942614367 · live from the CMS NPI Registry
Dpmmodlinpria LLC
Podiatrist, Foot & Ankle Surgery in Des Moines, IA. National Provider Identifier 1942614367, active.
NPI record
| NPI | 1942614367 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 1111 E Army Post Rd, Suite 470, Des Moines, IA 50315 |
| Practice phone | 515-244-0633 |
| Enumerated | June 13, 2014 |
| Last updated | June 13, 2014 |
| Authorized official | Joshua Modlin, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 073866 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.