Nicola  J  Pike    DPM
Contract Details
Facility name
Provider ID
P000004061
NPI
1225186885
Tax ID
264762525
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
387 7th St
Sioux Center, IA 51250
United States
County
Sioux
Phone
7127224395 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Podiatry
Map
Address