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7250 Clearvista Dr Suite 120 Indianapolis IN 46256-4699 | |
| (317) 621-2740 | |
| (317) 621-5658 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 7250 Clearvista Dr, Indianapolis, Indiana |
| Authorized Official Name and Position | Jeffery Kirkham (CFO) |
| Authorized Official Contact | 3173555822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7250 Clearvista Dr Suite 120 Indianapolis IN 46256-4699 Ph: (317) 621-2740 | 7250 Clearvista Dr Suite 120 Indianapolis IN 46256-4699 Ph: (317) 621-2740 |
| NPI Number | 1225263106 |
|---|---|
| Provider Enumeration Date | 05/21/2009 |
| Last Update Date | 07/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225263106 | NPI | - | NPPES |
| 000000637502 | Other | IN | ANTHEM |
| 200963780 | Medicaid | IN |
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