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Organization
WESTFIELD FOOT AND ANKLE, LLC
Active
Organization
WESTFIELD FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RYAN SULLIVAN DPM (OWNER,MEMBER,PODIATRIST)
(618) 534-9193
Entity
Organization
Contact information
Practice address
16411 SOUTHPARK DR, SUITE B, WESTFIELD, IN 46074-8468
(317) 896-6655
(317) 896-6081
Mailing address
16411 SOUTHPARK DR, SUITE B, WESTFIELD, IN 46074-8468
(317) 896-6655
(317) 896-6081
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001049A
IN
Other
Enumeration date
04/16/2008
Last updated
07/27/2009
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