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Organization
PATOKA VALLEY PODIATRY P.C.
Active
Organization
PATOKA VALLEY PODIATRY P.C.
Active
Other names
Indiana Foot & Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J RADER DPM (PRESIDENT)
(812) 634-2778
Entity
Organization
Contact information
Practice address
645 W 5TH ST, JASPER, IN 47546-3172
(812) 634-2778
(812) 634-2909
Mailing address
PO BOX 829, JASPER, IN 47547-0829
(812) 634-2778
(812) 634-2909
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190155
ANTHEM
IN
05
—
200978250
—
IN
01
—
CH3370
RAILROAD MEDICARE
IN
Enumeration date
03/13/2007
Last updated
02/20/2025
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