Craig Allen Stull ATC

NPI 1588978928 - Specialist/Technologist, Other - 246Z00000X

NPI Details
NPI 1588978928
Gender Male
Enumeration Date 07/27/2010
Last Updated 07/27/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
8227 NORTHWEST BLVD STE 160
INDIANAPOLIS IN, 46278-1386, US
Phone (317) 415-5747
Fax
Business Location
8227 NORTHWEST BLVD SUITE 160
INDIANAPOLIS IN, 46278, US
Phone
Fax
Toxanomy
Taxonomy Code 246Z00000X
License State Indiana
License Number 36001288A
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According to our database, Craig Allen Stull ATC NPI is 1588978928, taxonomy code is 246Z00000X and license number is 36001288A, license state is located at Indiana. Craig Allen Stull ATC physically located at 8227 Northwest Blvd Ste 160, Indianapolis IN, 46278-1386. NPI Number Craig Allen Stull ATC has the Individual type.

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1588978928 NPI number is provided on an as is basis without warranty of any kind. 1588978928 is maintained by the National Plan & Provider Enumeration System. The contents of Craig Allen Stull ATC are for informational purposes only.