Organization
HOOSIER FOOT & ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK ALLEN DEHEER DPM (OWNER/PHYSICIAN)
(317) 346-7722
Entity
Organization
Contact information
Practice address
2545 FOX POINTE DR, SUITE E, COLUMBUS, IN 47203-3220
(812) 378-3668
(812) 378-5770
Mailing address
1876 NORTHWOOD PLAZA DRIVE, BOX 351, FRANKLIN, IN 46131
(317) 346-7722
(317) 346-7722
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200450170
—
IN
01
—
DB0934
RR MCR
—
Enumeration date
10/09/2006
Last updated
06/08/2009
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