Organization
ANGELIC FOOTCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANISHA SMITH DPM (PODIATRIST)
(317) 397-1718
Entity
Organization
Contact information
Practice address
8785 KEYSTONE XING, 1268, INDIANAPOLIS, IN 46240-2337
(317) 397-1718
Mailing address
8785 KEYSTONE XING, 1268, INDIANAPOLIS, IN 46240-2337
(317) 397-1718
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
07001108A
IN
Other
Enumeration date
06/17/2015
Last updated
07/20/2015
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