| Doctor Name: | DR. PHILLIP J GREENFIELD |
| NPI Number: | 1023060225 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 00793 |
| Business Practice Address: | 2700 1st Ave S Ste 400 Fort Dodge, IA - 505014300 |
| Business Phone Number: | 5155763338 |
| Business Fax Number: | 5155764558 |
| Mailing Address: | 2700 1st Ave S Ste 400, FORT DODGE |
| State: | IA |
| Postal Code: | 505014300 |
| Phone Number: | 5155763338 |
| Fax Number: | 5155764558 |
| NPI Enumeration Date: | 05/16/2006 |
| NPI Last Update Date: | 05/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 00793 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |