# SUMMIT OCCUPATIONAL MEDICINE LLC

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

## Provider details

- **NPI number:** 1992135495
- **Authorized official:** DR. DOUGLAS MARSHALL (DOCTOR/OWNER)
- **Authorized official phone:** (317) 631-0420

## Contact information

- **Practice address:** 3750 N MERIDIAN ST, STE 300, INDIANAPOLIS, IN 46208-4375
- **Practice address phone:** (317) 631-0420
- **Mailing address:** 3750 N MERIDIAN ST, STE 300, INDIANAPOLIS, IN 46208-4375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | IN | Yes |

## Other

- **Enumeration date:** 11/19/2013
- **Last updated:** 11/19/2013