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Organization
VILLAGE OSTEOPATH
Active
Organization
VILLAGE OSTEOPATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SCOTT NALL DO (MEMBER)
(317) 491-5272
Entity
Organization
Contact information
Practice address
15510 HERRIMAN BLVD, NOBLESVILLE, IN 46060-4217
(317) 491-5272
(317) 324-3183
Mailing address
15510 HERRIMAN BLVD, NOBLESVILLE, IN 46060-4217
(317) 491-5272
(317) 324-3183
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
02003238A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
02003238A
IN
Other
Enumeration date
11/05/2013
Last updated
10/22/2021
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