| NPI | 1285837773 |
|---|---|
| Doing Business As | INDY SOUTH FOOT ANDANKLE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY S STEVENS Doctor 317-300-0106 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000694A) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2021-03-15 |