| Central Indiana Medical Group | |
|
8920 Southpointe Dr Suite E-1 Indianapolis IN 46227-7509 | |
| (317) 882-0535 | |
| (317) 882-0173 |
| Full Name | Central Indiana Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 8920 Southpointe Dr, Indianapolis, Indiana |
| Authorized Official Name and Position | Robert E Dicks (MD/OWNER) |
| Authorized Official Contact | 3178820535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Indiana Medical Group 1350 E County Line Rd Suite I Indianapolis IN 46227-0873 Ph: (317) 882-0535 | Central Indiana Medical Group 8920 Southpointe Dr Suite E-1 Indianapolis IN 46227-7509 Ph: (317) 882-0535 |
| NPI Number | 1720277544 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720277544 | NPI | - | NPPES |
| CI4722 | Other | IN | GROUP RR MCE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01022713A (Indiana) | Primary |
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