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Organization
COLUMBUS FOOT AND ANKLE CLINIC, PC
Active
Organization
COLUMBUS FOOT AND ANKLE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RICHARD HLADIK DPM (PRESIDENT)
(812) 372-6274
Entity
Organization
Contact information
Practice address
360 PLAZA DRIVE, SUITE B, COLUMBUS, IN 47201-2960
(812) 372-6274
(812) 372-9357
Mailing address
360 PLAZA DR, SUITE B, COLUMBUS, IN 47201-2960
(812) 372-6274
(812) 372-9357
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000873
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200183180
—
IN
Enumeration date
03/20/2007
Last updated
12/18/2014
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