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541 N Park Ave Indianapolis IN 46202-3513 | |
(574) 304-0428 | |
(317) 602-7166 |
Full Name | |
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Speciality | Family Medicine - Geriatric Medicine |
Location | 541 N Park Ave, Indianapolis, Indiana |
Authorized Official Name and Position | Joe Edward Banks (OWNER) |
Authorized Official Contact | 5743040428 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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541 N Park Ave Indianapolis IN 46202-3513 Ph: (574) 304-0428 | 541 N Park Ave Indianapolis IN 46202-3513 Ph: (574) 304-0428 |
NPI Number | 1275802993 |
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Provider Enumeration Date | 12/27/2011 |
Last Update Date | 02/13/2019 |
Identifier | Type | State | Issuer |
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1275802993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QG0300X | Family Medicine - Geriatric Medicine | 02003296A (Indiana) | Primary |
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