Roberta Craft P.A.

NPI 1619910312 - Physician Assistant - 363A00000X

NPI Details
NPI 1619910312
Gender Female
Enumeration Date 06/13/2006
Last Updated 09/26/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
355 W 16TH ST
SUITE 5100
INDIANAPOLIS IN, 46202-2207, US
Phone (317) 396-1300
Fax (317) 924-8472
Business Location
8333 NAAB RD
SUITE 255
INDIANAPOLIS IN, 46260-5924, US
Phone (317) 396-1300
Fax (317) 396-1346
Toxanomy
Taxonomy Code 363A00000X
License State Indiana
License Number 10000229A
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According to our database, Roberta Craft P.A. NPI is 1619910312, taxonomy code is 363A00000X and license number is 10000229A, license state is located at Indiana. Roberta Craft P.A. physically located at 355 W 16th St, Indianapolis IN, 46202-2207. NPI Number Roberta Craft P.A. has the Individual type.

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1619910312 NPI number is provided on an as is basis without warranty of any kind. 1619910312 is maintained by the National Plan & Provider Enumeration System. The contents of Roberta Craft P.A. are for informational purposes only.