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Organization
DTRC, LLC
Active
Organization
DTRC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY NEAL DEWESTER M.D. (OWNER / PHYSICIAN)
(317) 807-0247
Entity
Organization
Contact information
Practice address
6447 S EAST ST, SUITE C, INDIANAPOLIS, IN 46227-2118
(317) 807-0247
(317) 735-1951
Mailing address
6447 S EAST ST, SUITE C, INDIANAPOLIS, IN 46227-2118
(317) 807-0247
(317) 735-1951
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
01036126A
IN
Other
Enumeration date
04/11/2014
Last updated
04/11/2014
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