Organization
MONTICELLO PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MURTUZA PEERBHAI DPM (PRINCIPAL)
(765) 420-2850
Entity
Organization
Contact information
Practice address
101 W BROADWAY ST, MONTICELLO, IN 47960-2110
(765) 420-2850
Mailing address
101 BROADWAY, MONTICELLO, IN 47960
(765) 420-2850
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
#07001110A
IN
Other
Enumeration date
01/13/2011
Last updated
04/15/2013
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