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Organization

LADINE PODIATRY, PC

Active
Parent organization
LADINE PODIATRY, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LADINE PODIATRY, PC
Authorized official
BARBARA HUNTSMAN (CREDENIAL SPECIALIST)
(317) 931-0664
Entity
Organization

Contact information

Practice address
8433 HARCOURT RD, SUITE 210, INDIANAPOLIS, IN 46260-2196
(317) 876-7361
(317) 876-7370
Mailing address
8433 HARCOURT RD STE 210, INDIANAPOLIS, IN 46260-2196
(317) 876-7361
(317) 876-7370

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000950A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200890330
IN
01
DH1868
PALMETTO GBA
IN
Enumeration date
01/25/2013
Last updated
08/08/2023
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