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Dr. Jim Paul Licandro
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NPI Number Detailed Information
Provider Information:
Name: | Dr. Jim Paul Licandro |
Gender: | M |
Provider License Number If Given: | 705 |
NPI Information:
NPI: | 1609873538 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 7/7/2005 |
Last Update Date: | 7/22/2018 |
Reputation Report: |
Provider Business Mailing Address:
Address: | 5261 BOULDER DR APT D West Des Moines, IA 50265 |
Phone Number: | 5633404387 |
Fax Number: | 5634247234 |
Provider Business Practice Location Address:
Address: | 405 WOODLAWN RD Long Grove, IA 52756 |
Phone Number: | 8324257457 |
Fax Number: | 5632855446 |
Provider Taxonomy:
Primary: | 213E00000X |
Secondary (if any): | |
State: | IA |
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About Dr. Jim Paul Licandro
Dr. Jim Paul Licandro (DR. JIM PAUL LICANDRO ) is A Podiatrist Physician in Long Grove, IA.
The NPI Number for Dr. Jim Paul Licandro is 1609873538.
The current location address for Dr. Jim Paul Licandro is 405 WOODLAWN RD Long Grove, IA 52756 and the contact number is 5633404387 and fax number is 5634247234.
The mailing address for Dr. Jim Paul Licandro is 5261 BOULDER DR APT D West Des Moines, IA 50265- 8324257457 (mailing address contact number - 5633404387).
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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FAQs:
What is the NPI Number for Dr. Jim Paul Licandro ?
Answer: The NPI Number for Dr. Jim Paul Licandro is 1609873538
Where is Dr. Jim Paul Licandro located?
Answer: Dr. Jim Paul Licandro is located at 405 WOODLAWN RD Long Grove, IA 52756.
What is the specialty for Dr. Jim Paul Licandro ?
Answer: The Specialty of Dr. Jim Paul Licandro is A Podiatrist Physician.
Are there any online reviews for Dr. Jim Paul Licandro ?
Answer: Yes! Check It Now.
Are there any other health care providers in Long Grove, IA?
Answer: Yes, there are given below...
Medicare Physician & Other Practitioners
Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Jim Paul Licandro
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