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NPI Profile for Dr JIM P LICANDRO in LONG GROVE, IA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Podiatrist |
213E00000X | 48 | Podiatry |
| NPI # | 1609873538 |
|
| Status | Active | |
| Credentials | DPM (Doctor of Podiatric Medicine) | |
| Entity | Individual | |
| Enumeration date | 07/07/2005 | |
| Last updated | 07/22/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JIM P LICANDRO
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JIM P LICANDRO, DPM