# INDIANA NEUROSCIENCE ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023115243
- **Authorized official:** MISS CANDACE M DAY (CRENTIALING DEPT)
- **Authorized official phone:** (317) 570-7900

## Contact information

- **Practice address:** 8333 NAAB RD STE 260, INDIANAPOLIS, IN 46260-1983
- **Practice address phone:** (317) 570-7900
- **Practice address fax:** (317) 570-2288
- **Mailing address:** 6330 CASTLEPLACE DR \# 130, INDIANAPOLIS, IN 46250-1902
- **Mailing address phone:** (317) 570-7900
- **Mailing address fax:** (317) 570-2288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 1000829A | IN | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 04/27/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01000829A | STATE LICENSE | IN |
