Glenn N Carlos MD

NPI 1083705842 - Surgery - 208600000X

NPI Details
NPI 1083705842
Gender Male
Enumeration Date 09/27/2006
Last Updated 01/23/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1801 N SENATE BLVD
SUITE 3100
INDIANAPOLIS IN, 46202-1196, US
Phone (317) 962-2500
Fax (317) 962-6259
Business Location
250 N SHADELAND AVE
SUITE 130- PROVIDER ENROLLMENT
INDIANAPOLIS IN, 46219-4959, US
Phone
Fax
Toxanomy
Taxonomy Code 208600000X
License State Indiana
License Number 01046364A
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According to our database, Glenn N Carlos MD NPI is 1083705842, taxonomy code is 208600000X and license number is 01046364A, license state is located at Indiana. Glenn N Carlos MD physically located at 1801 N Senate Blvd, Indianapolis IN, 46202-1196. NPI Number Glenn N Carlos MD has the Individual type.

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1083705842 NPI number is provided on an as is basis without warranty of any kind. 1083705842 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn N Carlos MD are for informational purposes only.