| NPI | 1427760354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TYLER VESTILE Owner 317-519-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2023-05-22 |