Individual
DR. JODIE R HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 N RITTER AVE STE 231, INDIANAPOLIS, IN 46219-3099
(317) 621-4657
(317) 355-8750
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01050890A
IN
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
01050890A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000368689
ANTHEM
IN
05
—
200361260A
—
IN
Enumeration date
08/10/2005
Last updated
10/27/2022
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