Individual
ROBERT I. PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
533 E COUNTY LINE RD, SUITE 201, GREENWOOD, IN 46143-1073
(317) 706-7246
(317) 706-3419
Mailing address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2760
(317) 706-7246
(317) 706-3419
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01068883A
IN
208VP0000X
Pain Medicine Physician
0101234699
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010209919
—
VA
05
—
200999780
—
IN
01
—
504240
MEDICARE GROUP #
IL
Enumeration date
04/18/2006
Last updated
02/16/2016
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