FOOT DOC LLC NPI 1740391499

NPI Information

FOOT DOC LLC is a podiatrist in Indianapolis, IN. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. FOOT DOC LLC NPI is 1740391499. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2346 S LYNHURST DR
SUITE 707
INDIANAPOLIS, IN
ZIP 46241-621
Phone: (317) 241-9565
Fax: (317) 241-0100

The provider's authorized official is Damon Lamont Smith .
The authorized official title is President/ceo and has the following contact phone number (317) 241-9565.

The CLIA number assigned to this NPI record is 15D2188758 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/21/2013.

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

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