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3549 Boulevard Pl Indianapolis IN 46208-4403 | |
| (317) 920-1300 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 3549 Boulevard Pl, Indianapolis, Indiana |
| Authorized Official Name and Position | Philip Karl James (PRESIDENT OF ORGANIZATION) |
| Authorized Official Contact | 3179201300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3549 Boulevard Pl Indianapolis IN 46208-4403 Ph: (317) 920-1300 | 3549 Boulevard Pl Indianapolis IN 46208-4403 Ph: (317) 920-1300 |
| NPI Number | 1871792150 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 02/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871792150 | NPI | - | NPPES |
| 200886780A | Medicaid | IN |
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