Organization
DAWALT FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA DAWALT (OWNER)
(317) 297-5145
Entity
Organization
Contact information
Practice address
5645 LAFAYETTE RD, SUITE A, INDIANAPOLIS, IN 46254-1102
(317) 297-5145
Mailing address
5645 LAFAYETTE RD, SUITE A, INDIANAPOLIS, IN 46254-1102
(317) 297-5145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002880A
IN
Other
Enumeration date
07/25/2006
Last updated
02/02/2010
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