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Individual

PHILIP J FLORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-2353
(317) 944-2390
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28191965A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012243A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300060664
IN
Enumeration date
10/01/2021
Last updated
05/23/2022
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