Individual
ANDREW WARNER THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 E 17TH ST, COLUMBUS, IN 47201-5351
(812) 418-7053
Mailing address
PO BOX 1329, COLUMBUS, IN 47202-1329
(812) 376-5322
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01089004A
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT TAXONOMY
IN
Enumeration date
04/03/2019
Last updated
06/19/2024
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