Organization
AILANTO, LLC
Active
Other names
BodyLogicMD of Indianapolis
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER SPAHR M.D. (DIRECTOR)
(866) 315-2787
Entity
Organization
Contact information
Practice address
3003 E 98TH ST, SUITE 261, INDIANAPOLIS, IN 46280-1998
(866) 315-2787
(866) 315-7638
Mailing address
3003 E 98TH ST, SUITE 261, INDIANAPOLIS, IN 46280-1998
(866) 315-2787
(866) 315-7638
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01033610A
IN
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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