| NPI | 1235433715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN JONES Owner 219-923-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001113A) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2017-12-22 |