| NPI | 1003903220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ALLEN DEHEER Owner/Physician 317-346-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2009-06-08 |