NPI 1124228994

Spencer Foot and Ankle Clinic INC

Organisation Customized Equipment (DME) Osceola, IA

Practice location

Address: 110 E McLane St, Osceola, IA 50213-1457
Phone: (641) 342-6054
Fax: (641) 342-2292

Authorised official

Name: Richard B Spencer
Title: President
Phone: (641) 342-6054

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X Licence 00413 (IA)

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Registry record

NPI: 1124228994
Entity type: Organization
NPI issued: 20 Jul 2007
Record last updated: 20 Jul 2007

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.