Organization
OFFUTT FOOT AND ANKLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN M OFFUTT DPM (PRESIDENT DIRECTOR)
(765) 965-3668
Entity
Organization
Contact information
Practice address
1106 S A ST, RICHMOND, IN 47374-5526
(765) 965-3668
Mailing address
1380 CHESTER BLVD, SUITE C, RICHMOND, IN 47374-1907
(765) 965-3668
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000991A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07000991A
STATE LICENSE
IN
01
—
1700889102
DOCTORS INDIVIDUAL NPI NUMBER
IN
05
—
200958540
—
IN
Enumeration date
08/18/2009
Last updated
03/07/2023
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