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Organization

SPEEDWAY PODIATRY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYNN A. GIBNEY D.P.M. (PRESIDENT)
(317) 241-2107
Entity
Organization

Contact information

Practice address
5388 W 10TH ST, SPEEDWAY, IN 46224-6818
(317) 241-2107
(317) 240-1198
Mailing address
5388 W 10TH ST, SPEEDWAY, IN 46224-6818
(317) 241-2107
(317) 240-1198

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
52000059A
IN

Other

Enumeration date
05/30/2007
Last updated
07/21/2010
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