| NPI | 1669604047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M OFFUTT President Director 765-965-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000991A) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2023-03-07 |