Broadway Foot Clinic Corporation

NPI #1073510244 in Gary, Indiana

Provider Information

NPI Number: 1073510244
Entity Type: Organization
Organization Name: Broadway Foot Clinic Corporation
Primary Specialty: Podiatrist
Enumeration Date: Jul 3, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 3290 GRANT ST
Address 2: SUITE 108
City: Gary
State: Indiana
ZIP Code: 46408-1015
Phone: (219) 884-7880

Authorized Official

Name: DR. SONNY O OJIKUTU, DPM
Title: VICE PRESIDENT
Phone: (219) 884-7880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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