Speedway Podiatry Inc.

NPI #1245431865 in Speedway, Indiana

Provider Information

NPI Number
1245431865
Entity Type
Organization
Organization Name
Speedway Podiatry Inc.
Primary Specialty
Podiatrist
Enumeration Date
May 30, 2007
Last Updated
Jul 21, 2010

Practice Location

Address
5388 W 10TH ST
State
Indiana
ZIP Code
46224-6818
Phone
(317) 241-2107

Authorized Official

Name
DR. LYNN A. GIBNEY, D.P.M.
Title
PRESIDENT
Phone
(317) 241-2107

Specialties & Taxonomy Codes

Specialty
Podiatrist

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