Organization
INDIANA NEUROSCIENCE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CANDACE M DAY (CRENTIALING DEPT)
(317) 570-7900
Entity
Organization
Contact information
Practice address
8333 NAAB RD STE 260, INDIANAPOLIS, IN 46260-1983
(317) 570-7900
(317) 570-2288
Mailing address
6330 CASTLEPLACE DR # 130, INDIANAPOLIS, IN 46250-1902
(317) 570-7900
(317) 570-2288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1000829A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000829A
STATE LICENSE
IN
Enumeration date
09/20/2006
Last updated
04/27/2009
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