| NPI | 1043900962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES VESTILE Owner 317-441-7981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-31 |