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Organization
ENDOCRINOLOGY DIABETES AND OBESITY CLINIC
Active
Organization
ENDOCRINOLOGY DIABETES AND OBESITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIOS T HERODOTU MD (PRESIDENT)
(317) 706-6733
Entity
Organization
Contact information
Practice address
11805 N PENNSYLVANIA ST, CARMEL, IN 46032-4555
(317) 706-6733
(317) 706-6723
Mailing address
11805 N PENNSYLVANIA ST, CARMEL, IN 46032-4555
(317) 706-6733
(317) 706-6723
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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