| |
8501 E 56th St Sutie 120 Indianapolis IN 46216-2118 | |
(317) 621-2400 | |
(317) 621-5266 |
Full Name | |
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Speciality | Family Medicine |
Location | 8501 E 56th St, 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 |
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8501 E 56th St Sutie 120 Indianapolis IN 46216-2118 Ph: (317) 621-2400 | 8501 E 56th St Sutie 120 Indianapolis IN 46216-2118 Ph: (317) 621-2400 |
NPI Number | 1245257245 |
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Provider Enumeration Date | 07/16/2006 |
Last Update Date | 03/24/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245257245 | NPI | - | NPPES |
200325490R | Medicaid | IN | |
DB4388 | Other | IN | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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