Urology Of Indiana L.l. C.

NPI 1578961314 - Durable Medical Equipment & Medical Supplies - 332BC3200X

NPI Details
NPI 1578961314
Enumeration Date 12/10/2014
Last Updated 12/15/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name GLEN A GLEN
Position M.D./OWNER
Phone (317) 671-8032
Fax (317) 671-8033
Practice Location
1115 RONALD REAGAN PKWY
SUITE 247
AVON IN, 46123-6910, US
Phone (317) 671-8032
Fax (317) 671-8033
Business Location
679 E COUNTY LINE RD
GREENWOOD IN, 46143-1049, US
Phone (317) 859-7222
Fax (317) 859-7220
Toxanomy
Taxonomy Code 332BC3200X
License State
License Number
Remove 1578961314 NPI Number
 

According to our database, Urology Of Indiana L.l. C. NPI is 1578961314, taxonomy code is 332BC3200X Urology Of Indiana L.l. C. physically located at 1115 Ronald Reagan Pkwy, Avon IN, 46123-6910. NPI Number 1033115704 has the healthcare provider type.

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1578961314 NPI number is provided on an as is basis without warranty of any kind. 1578961314 is maintained by the National Plan & Provider Enumeration System. The contents of Urology Of Indiana L.l. C. are for informational purposes only.