| NPI | 1528484904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BARRY President 812-481-2741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: IN 07001046A) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2019-02-01 |