Vincennes Podiatry Associates, Llc

NPI 1881880938 - Podiatrist - 213ES0103X

NPI Details
NPI 1881880938
Enumeration Date 09/22/2007
Last Updated 12/05/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DEREK ALAN DEREK
Position PODIATRIST
Phone (812) 882-3312
Fax (812) 882-6181
Practice Location
202 BROADWAY ST
VINCENNES IN, 47591-1228, US
Phone (812) 882-3312
Fax (812) 882-6181
Business Location
PO BOX 943
VINCENNES IN, 47591-0943, US
Phone (812) 882-3312
Fax (812) 882-6181
Toxanomy
Taxonomy Code 213ES0103X
License State Indiana
License Number 07000905
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According to our database, Vincennes Podiatry Associates, Llc NPI is 1881880938, taxonomy code is 213ES0103X and license number is 07000905, license state is located at Indiana. Vincennes Podiatry Associates, Llc physically located at 202 Broadway St, Vincennes IN, 47591-1228. NPI Number 1033115704 has the healthcare provider type.

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1881880938 NPI number is provided on an as is basis without warranty of any kind. 1881880938 is maintained by the National Plan & Provider Enumeration System. The contents of Vincennes Podiatry Associates, Llc are for informational purposes only.