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Organization
NEURO HEALTH INDIANAPOLIS LLC
Active
Organization
NEURO HEALTH INDIANAPOLIS LLC
Active
Other names
Genesis Lifestyle Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX SPINOSO MD (AUTHORIZED OFFICIAL)
(725) 867-3337
Entity
Organization
Contact information
Practice address
1553 W OAK ST, ZIONSVILLE, IN 46077-1840
(760) 835-8962
Mailing address
1553 W OAK ST, ZIONSVILLE, IN 46077-1840
(760) 835-8962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
02/08/2021
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