NPI 1003048372 · live from the CMS NPI Registry
Bloomington Podiatry Centre LLC
Podiatrist, Foot & Ankle Surgery in Bloomington, IN. National Provider Identifier 1003048372, active.
NPI record
| NPI | 1003048372 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 203 W 1st St, Bloomington, IN 47403 |
| Practice phone | 812-339-1675 |
| Enumerated | August 19, 2009 |
| Last updated | August 10, 2010 |
| Authorized official | Michael Hoffman, Podiatrist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.