Prevmed Podiatry Group, PC
Podiatrist in Greenwood, IN. Organization (NPI-2).
NPI number1700249059
StatusActive
Last updated in NPPESNov 2, 2017
Details
- NPI
- 1700249059
- Entity type
- Organization (NPI-2)
- Legal business name
- Prevmed Podiatry Group, PC
- Organization subpart
- No
- Enumeration date
- Apr 4, 2016
- Last updated
- Nov 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 07000570A | IN | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
1499 Windhorst Way Ste 120Greenwood, IN 46143-8800
Phone 317-886-6639 · Fax 888-547-0377
Mailing address
1499 Windhorst Way Ste 120Greenwood, IN 46143-8800
Phone 317-886-6639 · Fax 888-547-0377
Authorized official
Claudia Jackson
Vice President Of Finance
3175222054
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All 8 Podiatrist providers in Greenwood · All 3,035 providers in Greenwood
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