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Organization
THE FOOT AND ANKLE CENTER LLC
Active
Organization
THE FOOT AND ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PARMENTER DPM (OWNER)
(812) 336-1185
Entity
Organization
Contact information
Practice address
2920 MCINTYRE DR, SUITE 100, BLOOMINGTON, IN 47403-4221
(812) 336-1185
(812) 336-3153
Mailing address
2920 MCINTYRE DR, SUITE 100, BLOOMINGTON, IN 47403-4221
(812) 336-1185
(812) 336-3153
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG1627
RAILROAD MEDICARE
—
Enumeration date
01/31/2006
Last updated
11/20/2007
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