Individual
JULIA K. PAGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2310 CALIFORNIA RD, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-9650
Mailing address
2310 CALIFORNIA RD, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-9650
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001129A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201073380
—
IN
Enumeration date
07/13/2009
Last updated
01/03/2014
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