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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

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: Not yet!

Are there any other health care providers in Long Grove, IA?


Answer: Yes, there are given below...

More Providers in Long Grove , IA

Dr. Jim Paul Licandro
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NPI Number: 1609873538
Address: 405 WOODLAWN RD Long Grove, IA 52756 , Phone: 8324257457
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NPI Number: 1780003160
Address: 30980 SCOTT PARK RD TRLR 72 Long Grove, IA 52756 , Phone: 5632101308
Premier Podiatry
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NPI Number: 1720445281
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Dr. Jim Paul Licandro in Other Directories

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