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Organization
MAOAC, LLC
Active
Organization
MAOAC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSY BRATCHER (OFFICE MANAGER)
(317) 213-6762
Entity
Organization
Contact information
Practice address
8856 SOUTH ST, FISHERS, IN 46038-2911
(317) 516-1177
(317) 516-5128
Mailing address
8856 SOUTH ST, FISHERS, IN 46038-2911
(317) 516-1177
(317) 516-5128
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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