| Indicare Vitals Inc | |
|
1427 W 86th St Suite 326 Indianapolis IN 46260-2103 | |
| (317) 332-2692 | |
| Not Available |
| Full Name | Indicare Vitals Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1427 W 86th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Gregory Gordon (CEO) |
| Authorized Official Contact | 3173322692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indicare Vitals Inc 1427 W 86th St Suite 326 Indianapolis IN 46260-2103 Ph: () - | Indicare Vitals Inc 1427 W 86th St Suite 326 Indianapolis IN 46260-2103 Ph: (317) 332-2692 |
| NPI Number | 1386950913 |
|---|---|
| Provider Enumeration Date | 08/20/2010 |
| Last Update Date | 08/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386950913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01038358B (Indiana) | Primary |
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