# A KLAS ASSOCIATION

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

## Provider details

- **NPI number:** 1477820017
- **Authorized official:** DR. ALEXANDER KLAZ MD (SENIOR PARTNER)
- **Authorized official phone:** (317) 698-6883

## Contact information

- **Practice address:** 1829 BRASSICA LN, BLGD. A, INDIANAPOLIS, IN 46217-7095
- **Practice address phone:** (317) 698-6883
- **Practice address fax:** (317) 708-2695
- **Mailing address:** 1829 BRASSICA LN, BLGD. A, INDIANAPOLIS, IN 46217-7095
- **Mailing address phone:** (317) 698-6883
- **Mailing address fax:** (317) 708-2695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 01038707A | IN | Yes |

## Other

- **Enumeration date:** 11/28/2011
- **Last updated:** 10/18/2013
