# DTRC, LLC

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

## Provider details

- **NPI number:** 1568881076
- **Authorized official:** MR. JEFFREY NEAL DEWESTER M.D. (OWNER / PHYSICIAN)
- **Authorized official phone:** (317) 807-0247

## Contact information

- **Practice address:** 6447 S EAST ST, SUITE C, INDIANAPOLIS, IN 46227-2118
- **Practice address phone:** (317) 807-0247
- **Practice address fax:** (317) 735-1951
- **Mailing address:** 6447 S EAST ST, SUITE C, INDIANAPOLIS, IN 46227-2118
- **Mailing address phone:** (317) 807-0247
- **Mailing address fax:** (317) 735-1951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 01036126A | IN | Yes |

## Other

- **Enumeration date:** 04/11/2014
- **Last updated:** 04/11/2014