Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBONY WEST
ActiveEBONY WEST is a Foot & Ankle Surgery healthcare provider located in SOUTH BEND, Indiana. NPI 1164179461 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · SOUTH BEND, IN
Registration Details
- NPI Number
- 1164179461
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2022 (4.4620466422973 yrs)
- Last Updated
- Mar 7, 2022
- License
-
21-015359-1 (IN)
Practice Information
- Address
-
5122 CEDARWOOD LNSOUTH BEND, IN, 466191607Browse IN providers · Browse ZIP 46619
- Phone
- 5749044212
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Other Foot & Ankle Surgery Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| MR. GEORGE MTUWA | — | 1871251348 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.