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CENTRAL INDIANA ALLERGY LLC

Allergy

Greenwood, Indiana

Provider NPI: 1801027099

Organization Information:
Organization Name:  CENTRAL INDIANA ALLERGY LLC


Practice Location:
965 EMERSON PKWY STE B  GREENWOOD, IN 46143 US
Tel: 317-865-0055  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy

Other Provider Identifiers:

IssuerNumberStateType
200917240IN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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