NPI 1033415799
Foot and Ankle Clinic, PC
Practice location
- Address
- 315 N Washington St, Viborg, SD 57070-2002
- Phone
- (605) 326-5161
- Fax
- (605) 326-5734
- Mailing address
- 1502 Pierce St, Sioux City, IA 51105-1246
Authorised official
- Name
- Kham Vay Ung
- Title
- President/Owner
- Phone
- (712) 255-0502
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1033415799
- Entity type
- Organization
- NPI issued
- 28 Jan 2011
- Record last updated
- 14 Jun 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.