Individual
RICHARD LEE ISAACSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2020 W 86TH ST, 108, INDIANAPOLIS, IN 46260-1931
(317) 872-0984
(317) 872-0349
Mailing address
2020 W 86TH ST, 108, INDIANAPOLIS, IN 46260-1931
(317) 872-0984
(317) 872-0349
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
07000414A
IN
213ES0000X
Sports Medicine Podiatrist
07000414A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000414A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100061710 A & B
—
IN
Enumeration date
08/15/2005
Last updated
04/05/2017
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