Doctor Name: | DR. PHILIP J MORREALE |
NPI Number: | 1104810928 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 00423 |
Business Practice Address: | 4508 Chadwick Rd Cedar Falls, IA - 506137958 |
Business Phone Number: | 3192774508 |
Business Fax Number: | 3192778908 |
Mailing Address: | 4508 Chadwick Rd, CEDAR FALLS |
State: | IA |
Postal Code: | 506137958 |
Phone Number: | 3192774508 |
Fax Number: | 3192778908 |
NPI Enumeration Date: | 09/08/2005 |
NPI Last Update Date: | 06/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 00423 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |