| Dtrc, Llc | |
|
6447 S East St Suite C Indianapolis IN 46227-2118 | |
| (317) 807-0247 | |
| (317) 735-1951 |
| Full Name | Dtrc, Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 6447 S East St, Indianapolis, Indiana |
| Authorized Official Name and Position | Jeffrey Neal Dewester (OWNER / PHYSICIAN) |
| Authorized Official Contact | 3178070247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtrc, Llc 6447 S East St Suite C Indianapolis IN 46227-2118 Ph: (317) 807-0247 | Dtrc, Llc 6447 S East St Suite C Indianapolis IN 46227-2118 Ph: (317) 807-0247 |
| NPI Number | 1568881076 |
|---|---|
| Provider Enumeration Date | 04/11/2014 |
| Last Update Date | 04/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568881076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 01036126A (Indiana) | Primary |
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