Organization · Type 2 NPI

ST Mary's Medical Group, LLC

Foot & Ankle Surgery Podiatrist · Evansville, IN

NPI number 1154933703 Active

Practice location

3801 Bellemeade Ave Ste 110
Evansville, IN 47714-0111

Mailing address

250 W 96th St Ste 520
Indianapolis, IN 46260-1317

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000XNone listed
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed
Foot Surgery Podiatrist 213ES0131XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1154933703

ST Mary's Medical Group, LLC's National Provider Identifier is 1154933703, issued on Aug 17, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Evansville, IN. The record was last updated on Aug 17, 2020.