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Individual

DR. ROBERT A AMAZON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
484 E CARMEL DR, SUITE 207, CARMEL, IN 46032-2812
(317) 727-8978
(317) 575-1702
Mailing address
484 E CARMEL DR, SUITE 207, CARMEL, IN 46032-2812
(317) 727-8978
(317) 575-1702

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000976A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000319438
ANTHEM
IN
05
200439860
IN
Enumeration date
10/02/2006
Last updated
09/20/2013
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