Organization
FOOT AND ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN M SMITH DPM (PROVIDER)
(260) 407-8000
Entity
Organization
Contact information
Practice address
145 S 2ND ST, DECATUR, IN 46733-1664
(260) 407-8000
(260) 407-8004
Mailing address
145 S 2ND ST, DECATUR, IN 46733-1664
(260) 407-8000
(260) 407-8004
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000685
IN
Other
Enumeration date
07/12/2006
Last updated
04/11/2008
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