1609873538 Dr. Jim Paul Licandro, DPM
Podiatrist
Reactivated
Basic Information
- Full Name
- Dr. Jim Paul Licandro, DPM
- Gender
- Male
- Enumeration Date
- July 7, 2005
- Last Update
- July 22, 2018
- Deactivation Date
- March 21, 2006
- Reactivation Date
- March 29, 2006
Practice Location
- Address
- 405 WOODLAWN RD
LONG GROVE, IA 52756 - Phone
- (832) 425-7457
- Fax
- (563) 285-5446
Mailing Address
- Address
- 5261 BOULDER DR APT D
WEST DES MOINES, IA 502657823 - Phone
- (563) 340-4387
- Fax
- (563) 424-7234
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Podiatrist | 213E00000X | Podiatrist | 00705 | IA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1197210 | 05 | IA | N/A |
Frequently Asked Questions
What is Dr. Jim Paul Licandro, DPM's NPI number?
Dr. Jim Paul Licandro, DPM's NPI number is 1609873538.
Which doctor has NPI number 1609873538?
The doctor with NPI number 1609873538 is Dr. Jim Paul Licandro, DPM.
What is Dr. Jim Paul Licandro, DPM's practice address?
Dr. Jim Paul Licandro, DPM's practice address is 405 WOODLAWN RD, LONG GROVE, IA, 52756.
Which doctor practices at 405 WOODLAWN RD, LONG GROVE, IA, 52756?
Dr. Jim Paul Licandro, DPM practices at 405 WOODLAWN RD, LONG GROVE, IA, 52756.
What is Dr. Jim Paul Licandro, DPM's mailing address?
Dr. Jim Paul Licandro, DPM's mailing address is 5261 BOULDER DR APT D, WEST DES MOINES, IA, 502657823.
What is Dr. Jim Paul Licandro, DPM's phone number?
Dr. Jim Paul Licandro, DPM's phone number is (832) 425-7457.
Who is (832) 425-7457?
(832) 425-7457 is the phone number for Dr. Jim Paul Licandro, DPM.
What is Dr. Jim Paul Licandro, DPM's specialty?
Dr. Jim Paul Licandro, DPM's specialty is Podiatrist.
What type of doctor is Dr. Jim Paul Licandro, DPM?
Dr. Jim Paul Licandro, DPM is a Podiatrist.
Is Dr. Jim Paul Licandro, DPM a Podiatrist?
Yes, Dr. Jim Paul Licandro, DPM is a Podiatrist.
Is Dr. Jim Paul Licandro, DPM still practicing?
Yes, Dr. Jim Paul Licandro, DPM has reactivated their practice and is currently practicing.
Is Dr. Jim Paul Licandro, DPM accepting new patients?
Dr. Jim Paul Licandro, DPM may be accepting new patients. Please call their office at (832) 425-7457 to inquire about availability.
Is NPI 1609873538 still active?
Yes, NPI 1609873538 has been reactivated and is currently active.
Where does Dr. Jim Paul Licandro, DPM practice?
Dr. Jim Paul Licandro, DPM practices in LONG GROVE, IA.
Is Dr. Jim Paul Licandro, DPM a male or female doctor?
Dr. Jim Paul Licandro, DPM is a male doctor.