# IN STEP PODIATRY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245527258
- **Authorized official:** QUEEN MBANUZUE (OWNER)
- **Authorized official phone:** (301) 430-0337

## Contact information

- **Practice address:** 2905 MITCHELLVILLE RD, SUITE 105, BOWIE, MD 20716-1385
- **Practice address phone:** (301) 430-0337
- **Practice address fax:** (301) 542-0086
- **Mailing address:** PO BOX 683, BOWIE, MD 20718-0683
- **Mailing address phone:** (301) 430-0311
- **Mailing address fax:** (301) 542-0086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 06/29/2011
- **Last updated:** 09/20/2022