Organization · Type 2 NPI
SRD Podiatry P.c.
Primary Podiatric Medicine Podiatrist · Merrillville, IN
NPI number
1376749168
Active
Practice location
1237 W. 82nd Lane
Merrillville, IN 46410
Fax (219) 791-0657
Mailing address
1237 W. 82nd Pl
Merrillville, IN 46410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 07000980A (IN) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1376749168
SRD Podiatry P.c.'s National Provider Identifier is 1376749168, issued on Jun 27, 2007. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Merrillville, IN. The record was last updated on Aug 22, 2020.