| NPI | 1518205509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA HUNTSMAN Credenial Specialist 317-931-0664 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000950A) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2023-08-08 |