Individual
JOANNA LEE HUNTER-SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 944-7874
(317) 944-7874
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01078350A
IN
208600000X
Surgery Physician
A148776
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
05/18/2012
Last updated
07/25/2022
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