NPI 1174192801
Podiatry at Home, LLC
Practice location
- Address
- 5656 Judge Rd, Bettendorf, IA 52722-1211
- Phone
- (563) 362-8170
- Fax
- (872) 333-9156
Authorised official
- Name
- Andrea Eve Gillio
- Title
- Doctor, Owner
- Phone
- (563) 362-8170
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1174192801
- Entity type
- Organization
- NPI issued
- 17 Jun 2021
- Record last updated
- 17 Jun 2021
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.