Organization
AMARAD ENTERPRISES, INC.
Active
Other names
American Foot and Ankle Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY R. HAMMERSLEY DPM (OWNER)
(765) 473-4220
Entity
Organization
Contact information
Practice address
632 W MAIN ST, PERU, IN 46970-1747
(765) 473-4220
(765) 473-4223
Mailing address
632 W MAIN ST, PERU, IN 46970-1747
(765) 473-4220
(765) 473-4223
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000906A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375710
ANTHEM BLUE CROSS BLUE SH
IN
01
—
12180
PHYSCIAN HEALTH PLAN
IN
01
—
P00253559
PALMETTO
IN
Enumeration date
10/10/2006
Last updated
03/31/2008
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