Organization
ANKLE & FOOT CARE CENTERS OF INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J S (OFF)
(317) 255-5200
Entity
Organization
Contact information
Practice address
5202 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-3602
(317) 255-5200
Mailing address
PO BOX 20114, INDIANAPOLIS, IN 46220-0114
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000104096
ANTHEM
—
Enumeration date
04/10/2008
Last updated
04/10/2008
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