| NPI | 1063894848 |
|---|---|
| Doing Business As | SPECIAL CARE PODIATRY OF INDIANA |
| Entity Type | Organization |
| Authorized Contact | DUSKY FARMER Owner 855-259-9183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-07-09 |