A KLAS ASSOCIATION
Organization (NPI-2)
Active
Family Medicine, Adult Medicine
Provider Information
- NPI Number
1477820017- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1829 BRASSICA LN BLGD. A, INDIANAPOLIS, IN, 462177095
- Phone
- (317) 698-6883
- Fax
- (317) 708-2695
Specialties & Taxonomies
Family Medicine, Adult Medicine
Primary License: IN #01038707A