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Organization

COLUMBUS FOOT AND ANKLE CLINIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN RICHARD HLADIK DPM (PRESIDENT)
(812) 372-6274
Entity
Organization

Contact information

Practice address
360 PLAZA DRIVE, SUITE B, COLUMBUS, IN 47201-2960
(812) 372-6274
(812) 372-9357
Mailing address
360 PLAZA DR, SUITE B, COLUMBUS, IN 47201-2960
(812) 372-6274
(812) 372-9357

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000873
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200183180
IN
Enumeration date
03/20/2007
Last updated
12/18/2014
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