Premier Podiatry
Premier Podiatry is a Podiatrist in Long Grove, Iowa. Licensed in Iowa. Registered with an NPI since 2016.
- Licensed in
- IA
- In the registry since
- 2016
Practice location Address checks out
405 Woodlawn RdLong Grove, IA 52756-8745
Phone: (832) 425-7457
Fax: (563) 424-7234
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 0705 (IA) |
|---|
Record details
| NPI number | 1720445281 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Licandro — Owner/Physician · (563) 340-4387 |
| NPI enumerated | January 28, 2016 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | Po Box 2671, Davenport, IA 52809-2671 |
Other providers in Long Grove
-
Dr. Jim Paul Licandro, DPM
405 Woodlawn Rd, Long Grove, IA 52756 · (832) 425-7457