Organization
MONTICELLO PODIATRY LLC
Active
Parent organization
MONTICELLO PODIATRY LLC
Other names
logansport podiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTICELLO PODIATRY LLC
Authorized official
DR. MURTUZA ALI PEERBHAI DPM (PRESIDENT)
(765) 430-6963
Entity
Organization
Contact information
Practice address
101 W BROADWAY ST, MONTICELLO, IN 47960-2110
(844) 687-3338
(844) 687-3338
Mailing address
101 W BROADWAY ST, MONTICELLO, IN 47960-2110
(844) 687-3338
(844) 687-3338
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
07001110A
IN
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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