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Organization

INDIANA'S CENTER FOR FOOT AND ANKLE CARE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ZIA BARKATULLAH DPM (PRESIDENT AND OWNER)
(601) 397-5048
Entity
Organization

Contact information

Practice address
221 BOLIVAR ST, JEFFERSON CITY, MO 65101-1572
(248) 528-2116
Mailing address
135 GREEN FOREST DR, CLINTON, MS 39056-2235

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
310400000X
Assisted Living Facility
2015013534
MO

Other

Enumeration date
11/09/2015
Last updated
10/31/2024
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