| NPI | 1235477233 |
|---|---|
| Doing Business As | PRESTIGE PODIATRY |
| Entity Type | Organization |
| Authorized Contact | BARBARA HUNTSMAN Credential Specialist 317-931-0664 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000947A) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2019-08-28 |