Individual
DAVID R NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1791 W 3RD ST, BLOOMINGTON, IN 47404-5029
(812) 333-4422
(812) 333-6698
Mailing address
1791 W 3RD ST, BLOOMINGTON, IN 47404-5029
(812) 333-4422
(812) 333-6698
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001351
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
1899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300042601
—
IN
Enumeration date
06/11/2009
Last updated
02/22/2023
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