RAYMOND A BAUMGARTNER PC NPI 1639358963

NPI Information

RAYMOND A BAUMGARTNER PC is a foot and ankle surgery podiatrist in Indianapolis, IN. RAYMOND A BAUMGARTNER PC NPI is 1639358963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1717 W 86TH ST
STE 400
INDIANAPOLIS, IN
ZIP 46260-048
Phone: (317) 872-8042
Fax: (317) 872-8044

The provider's authorized official is Raymond Alan Baumgartner .
The authorized official title is President/owner and has the following contact phone number (317) 872-8042.

The enumeration date for this NPI number is 11/2/2007 and was last updated on 11/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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