St Vincent Headache Center | |
13430 N Meridian St Suite 165 Carmel IN 46032-1405 | |
(317) 582-8270 | |
(317) 582-8271 |
Full Name | St Vincent Headache Center |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 13430 N Meridian St, Carmel, Indiana |
Authorized Official Name and Position | Edward David Zdobylak (OWNER) |
Authorized Official Contact | 3175828270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St Vincent Headache Center 13430 N Meridian St Suite 165 Carmel IN 46032-1405 Ph: (317) 582-8270 | St Vincent Headache Center 13430 N Meridian St Suite 165 Carmel IN 46032-1405 Ph: (317) 582-8270 |
NPI Number | 1942483318 |
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Provider Enumeration Date | 12/08/2007 |
Last Update Date | 12/08/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942483318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 01051068A (Indiana) | Primary |
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