Organization
PREVMED PODIATRY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA JACKSON (VICE PRESIDENT OF FINANCE)
(317) 522-2054
Entity
Organization
Contact information
Practice address
1499 WINDHORST WAY STE 120, GREENWOOD, IN 46143-8800
(317) 886-6639
(888) 547-0377
Mailing address
1499 WINDHORST WAY STE 120, GREENWOOD, IN 46143-8800
(317) 886-6639
(888) 547-0377
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000570A
IN
332B00000X
Durable Medical Equipment & Medical Supplies
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—
Other
Enumeration date
04/04/2016
Last updated
11/02/2017
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