Organization · Type 2 NPI
Mobile Podiatrist, PC
Primary Podiatric Medicine Podiatrist · Greenwood, IN
NPI number
1861692402
Active
Practice location
1558 Victoria Ct
Greenwood, IN 46143-7884
Fax (317) 859-2923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 07001009A (IN) |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 016-004848 (IL) |
Primary Podiatric Medicine Podiatrist: Definition to come...
Another provider at this address
About NPI 1861692402
Mobile Podiatrist, PC's National Provider Identifier is 1861692402, issued on Jul 23, 2007. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Greenwood, IN. The record was last updated on Jun 3, 2011.