Organization
WILLIAM PAUL ROMAN JR
Active
Other names
ROMAN FOOT AND ANKLE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM PAUL ROMAN JR. D.P.M. (OWNER)
(219) 464-9588
Entity
Organization
Contact information
Practice address
2308 N ROOSEVELT RD, VALPARAISO, IN 46383-2773
(219) 464-9588
(219) 462-4470
Mailing address
2308 N ROOSEVELT RD, VALPARAISO, IN 46383-2773
(219) 464-9588
(219) 462-4470
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001033A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-005187
LICENSE
IL
01
—
07001033B
CONTROLLED SUBSTANCE(CSR)
IN
05
—
200843560A
—
IN
01
—
LICENSE
07001033A
IN
Enumeration date
02/04/2008
Last updated
05/24/2013
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