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Organization
WALTER C HANCOCK DPM
Active
Organization
WALTER C HANCOCK DPM
Active
Parent organization
WALTER C HANCOCK DPM
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALTER C HANCOCK DPM
Authorized official
DR. WALTER HANCOCK DPM (DPM)
(812) 482-4488
Entity
Organization
Contact information
Practice address
603 DORBETT ST, JASPER, IN 47546-2615
(812) 482-4488
(812) 482-5588
Mailing address
603 DORBETT ST, JASPER, IN 47546-2615
(812) 482-4488
(812) 482-5588
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000330
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108408
ANTHEM BLUE SHIELD
—
Enumeration date
01/30/2007
Last updated
08/30/2007
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