| NPI | 1053648824 |
|---|---|
| Doing Business As | PRESTIGE PODIATRY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY D AGRICOLA CEO 317-846-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000947A) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2019-08-28 |