Individual
JEREMY PATRICK SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8128 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6814
(317) 898-7117
(317) 897-2681
Mailing address
3731 GUION ROAD, SUITE C, INDIANAPOLIS, IN 46222-7604
(317) 931-0664
(317) 927-0924
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001115A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
07001115A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201012250
—
IN
Enumeration date
04/09/2008
Last updated
04/15/2013
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