| |
9221 Crawfordsville Rd Indianapolis IN 46234-1521 | |
(919) 932-0928 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 9221 Crawfordsville Rd, Indianapolis, Indiana |
Authorized Official Name and Position | Ronald Michael Creatore (CFO/GENERAL COUNSEL) |
Authorized Official Contact | 9199320928 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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510 Meadowmont Village Cir Ste 323 Chapel Hill NC 27517-7584 Ph: (919) 932-0928 | 9221 Crawfordsville Rd Indianapolis IN 46234-1521 Ph: (919) 932-0928 |
NPI Number | 1073125225 |
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Provider Enumeration Date | 08/19/2020 |
Last Update Date | 08/26/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073125225 | NPI | - | NPPES |
202007241408877 | Other | IN | INDIANA SECRETARY OF STATE |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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