| Organization Name: | JOHNSTON FOOT & ANKLE CLINIC |
| NPI Number: | 1023289451 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANA L PLEW (OWNER/PHYSICIAN) |
| Mailing Address: | 5335 Merle Hay Rd Suite #8 Johnston |
| State: | IA US |
| Postal Code: | 501311238 |
| Phone Number: | 5152526063 |
| Fax Number: | 5152526157 |
| NPI Enumeration Date: | 03/13/2008 |
| NPI Last Update Date: | 03/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 00648 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |