OrganizationActive
Area Wide Foot & Ankle Center, P.C.
NPI 1336327642 · Podiatric Clinic/Center · Bettendorf, IA
Provider details
- NPI number
- 1336327642
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jim Licandro, Owner(563) 441-0117
- License
- 00705 (IA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Podiatric Medicine & Surgery Service Providers
Practice location
1967 Spruce Hills Dr
Bettendorf, IA 52722-2624
Phone: (563) 441-0117
Fax: (563) 355-7396
Approximate (ZIP-level) locationGet directions
Mailing address
1967 Spruce Hills Dr
Bettendorf, IA 52722-2624
Registry dates
- Enumerated
- 2008-02-08
- Last updated
- 2008-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.