Organization
FIRST PODIATRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID REYNOLDS (OWNER)
(812) 422-4336
Entity
Organization
Contact information
Practice address
4640 W LLOYD EXPY, EVANSVILLE, IN 47712-6517
(812) 422-4336
(812) 421-0994
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056189
ANTHEM
IN
01
—
CD9657
RAILROAD MEDICARE
IN
Enumeration date
07/17/2006
Last updated
03/15/2022
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