| |
430 Fintail Dr Indianapolis IN 46219-6207 | |
(317) 612-3193 | |
(317) 612-3270 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 430 Fintail Dr, Indianapolis, Indiana |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | 430 Fintail Dr Indianapolis IN 46219-6207 Ph: (317) 612-3193 |
NPI Number | 1659955540 |
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Provider Enumeration Date | 05/07/2021 |
Last Update Date | 04/01/2024 |
Identifier | Type | State | Issuer |
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1659955540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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