Organization
MAJOR FOOT AND ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HORNER (CEO)
(317) 392-3211
Entity
Organization
Contact information
Practice address
30 W RAMPART ST STE 160, SHELBYVILLE, IN 46176-8845
(317) 392-0003
(317) 398-1859
Mailing address
30 W RAMPART ST, SUITE 160, SHELBYVILLE, IN 46176-8845
(317) 392-0003
(317) 398-1859
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001053A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200997340
—
IN
Enumeration date
02/17/2011
Last updated
05/08/2018
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