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Organization
FIVE INDIANA FOOT LLC
Active
Organization
FIVE INDIANA FOOT LLC
Active
Other names
Evansville Foot & Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS KENNETH HUPFER DPM (PHYSICIAN)
(812) 475-8900
Entity
Organization
Contact information
Practice address
3700 BELLEMEADE AVE STE 117, SUITE 100, EVANSVILLE, IN 47714-0106
(812) 475-8900
(812) 475-0024
Mailing address
PO BOX 15454, EVANSVILLE, IN 47716-0454
(812) 475-8900
(812) 475-0024
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
07000766A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100121220
—
IN
Enumeration date
08/17/2006
Last updated
04/14/2016
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