| NPI | 1154674851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MICHAEL OFFUTT President 765-965-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000991) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2023-03-07 |