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Gregory W Boake, DPM
Foot & Ankle Surgery Podiatrist in Indianapolis, Indiana
NPI 1235143512

Gregory W Boake is a Foot & Ankle Surgery Podiatrist based in Fortville, IN and is specialized in Foot & Ankle Surgery. Gregory W Boake practices in Indianapolis, IN and has the professional credentials of DPM. The NPI Number for Gregory W Boake is 1235143512 and holds a License No. 070001028A (Indiana).

The current practice location address for Gregory W Boake is 10122 E 10Th St Ste 230, Indianapolis, IN and can be reached out via phone at 317-355-7356.

Location: 10122 E 10Th St Ste 230, Indianapolis, IN, 46040-0330
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Provider Profile Details
NPI Number
1235143512
Provider Name
Gregory W Boake
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
10122 E 10Th St Ste 230, Indianapolis, IN, 46040-0330
Phone Number
317-355-7356
Fax Number
Provider Enumeration Date
07/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5324290008 01 DME FC
070001028A 01 IN PODIATRIST LICENSE
5324290003 01 DME ES
5324290004 01 DME BR
5324290006 01 DME MC
5324290005 01 DME AC
20087023 05 IN
5324290007 01 DME WV
institution
Provider Business Practice Location Address Details
Address
10122 E 10Th St Ste 230
City
State
Zip
46229-2664
Phone Number
317-355-7356
Fax Number
person
Provider Business Mailing Address Details
Address
10122 E 10Th St Ste 230
City
State
Zip
46229-2664
Phone Number
317-355-7356
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
070001028A (Indiana)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
070001028A (Indiana)
Definition
Definition to come...
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