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Organization
ALLEGIANT PODIATRY, INC.
Active
Organization
ALLEGIANT PODIATRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY FITZGERALD DPM (OWNER)
(305) 725-2524
Entity
Organization
Contact information
Practice address
515 SILHAVY RD, APT # 2, VALPARAISO, IN 46383-4452
(219) 299-4673
Mailing address
1101 CUMBERLAND XING, # 262, VALPARAISO, IN 46383-2356
(219) 299-4643
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001158A
IN
Other
Enumeration date
07/06/2016
Last updated
08/03/2016
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