Organization
RICHMOND FOOT AND ANKLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MICHAEL OFFUTT D.P.M. (PRESIDENT)
(765) 965-3668
Entity
Organization
Contact information
Practice address
1106 S A ST, RICHMOND, IN 47374-5526
(765) 965-3668
(765) 965-6530
Mailing address
1106 S A ST, RICHMOND, IN 47374-5526
(765) 965-3668
(765) 965-6530
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000991
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200268880
—
IN
Enumeration date
10/18/2012
Last updated
03/07/2023
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