| Zionsville Family Practice | |
|
55 Brendon Way Ste 300 Zionsville IN 46077-1961 | |
| (317) 873-3088 | |
| (317) 873-3050 |
| Full Name | Zionsville Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 55 Brendon Way, Zionsville, Indiana |
| Authorized Official Name and Position | Daniel Shull (OWNER) |
| Authorized Official Contact | 3178733088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zionsville Family Practice 55 Brendon Way Ste 300 Zionsville IN 46077-1961 Ph: (317) 873-3088 | Zionsville Family Practice 55 Brendon Way Ste 300 Zionsville IN 46077-1961 Ph: (317) 873-3088 |
| NPI Number | 1285849323 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 12/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285849323 | NPI | - | NPPES |
| 1508931650 | Other | IN | PHYSICIAN INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01026364 (Indiana) | Primary |
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