Organization
THE FOOT AND ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PARMENTER DPM (OWNER)
(812) 336-1185
Entity
Organization
Contact information
Practice address
2920 MCINTYRE DR, SUITE 100, BLOOMINGTON, IN 47403-4221
(812) 336-1185
(812) 336-3153
Mailing address
2920 MCINTYRE DR, SUITE 100, BLOOMINGTON, IN 47403-4221
(812) 336-1185
(812) 336-3153
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG1627
RAILROAD MEDICARE
—
Enumeration date
01/31/2006
Last updated
11/20/2007
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