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Riverside Podiatry Clinic, Inc.
Durable Medical Equipment & Medical Supplies in Marion, Indiana
NPI 1780605055

Riverside Podiatry Clinic, Inc. is a Durable Medical Equipment & Medical Supplies based in Marion, IN. Riverside Podiatry Clinic, Inc. practices in Marion, IN. The NPI Number for Riverside Podiatry Clinic, Inc. is 1780605055 and holds a License No. 07000307 (Indiana).

The current practice location address for Riverside Podiatry Clinic, Inc. is 1900 W Kem Rd, Marion, IN and can be reached out via phone at 765-664-0107 and via fax at 765-664-6541.

Location: 1900 W Kem Rd, Marion, IN, 46952-1548
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780605055
Provider Name
Riverside Podiatry Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
1900 W Kem Rd, Marion, IN, 46952-1548
Phone Number
765-664-0107
Fax Number
765-664-6541
Provider Enumeration Date
07/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DR6511 01 IN RR MEDICARE
000000083983 01 IN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1900 W Kem Rd
City
Marion
State
Indiana
Zip
46952-1548
Phone Number
765-664-0107
Fax Number
765-664-6541
person
Provider Business Mailing Address Details
Address
1900 W Kem Rd
City
Marion
State
Indiana
Zip
46952-1548
Phone Number
765-664-0107
Fax Number
765-664-6541
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
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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
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
07000307 (Indiana)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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