# CRAIG SHOUSE DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CRAIG SHOUSE DPM PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104576123
- **Legal business name:** CRAIG SHOUSE DPM PC
- **Authorized official:** CRAIG SHOUSE DPM (OWNER)
- **Authorized official phone:** (317) 299-2644

## Contact information

- **Practice address:** 8801 N MERIDIAN ST STE 106, INDIANAPOLIS, IN 46260-2353
- **Practice address phone:** (317) 299-2644
- **Practice address fax:** (317) 328-8914
- **Mailing address:** 3410 N HIGH SCHOOL RD STE C, INDIANAPOLIS, IN 46224-0002
- **Mailing address phone:** (317) 299-2644
- **Mailing address fax:** (317) 328-8914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2022
- **Last updated:** 03/24/2022