Organization
AMERICAN FOOT AND ANKLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY R HAMMERSLEY D.P.M. (DOCTOR/OWNER)
(765) 473-4220
Entity
Organization
Contact information
Practice address
632 WEST MAIN STREET, PERU, IN 46970
(765) 473-4220
(765) 473-4223
Mailing address
632 WEST MAIN STREET, PERU, IN 46970
(765) 473-4220
(765) 473-4223
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000906A
IN
332B00000X
Durable Medical Equipment & Medical Supplies
07000906A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000670197
BLUE CROSS BLUE SHIELD
IN
05
—
200984730
—
IN
01
—
7977917
CIGNA
IN
Enumeration date
11/18/2009
Last updated
10/05/2010
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