institution
Mobile Podiatrist, Pc
Primary Podiatric Medicine Podiatrist in Greenwood, Indiana
NPI 1861692402

Mobile Podiatrist, Pc is a Primary Podiatric Medicine Podiatrist based in Greenwood, IN and is specialized in Primary Podiatric Medicine. Mobile Podiatrist, Pc practices in Greenwood, IN. The NPI Number for Mobile Podiatrist, Pc is 1861692402 and holds a License No. 07001009A (Indiana).

The current practice location address for Mobile Podiatrist, Pc is 1558 Victoria Ct, Greenwood, IN and can be reached out via phone at 317-697-6536 and via fax at 317-859-2923.

Location: 1558 Victoria Ct, Greenwood, IN, 46143-7884
institution
Provider Profile Details
NPI Number
1861692402
Provider Name
Mobile Podiatrist, Pc
Credential
Provider Entity Type
Organization
Address
1558 Victoria Ct, Greenwood, IN, 46143-7884
Phone Number
317-697-6536
Fax Number
317-859-2923
Provider Enumeration Date
07/23/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DF0688 01 IN RAILROAD MEDICARE
DE1825 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1558 Victoria Ct
City
State
Zip
46143-7884
Phone Number
317-697-6536
Fax Number
317-859-2923
person
Provider Business Mailing Address Details
Address
1558 Victoria Ct
City
State
Zip
46143-7884
Phone Number
317-697-6536
Fax Number
317-859-2923
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
07001009A (Indiana)
Definition
Definition to come...
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