Individual
KARL D PRYOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2100
(317) 957-2120
Mailing address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2100
(317) 957-2120
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01068714A
IN
208000000X
Pediatrics Physician
40208
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200994200
—
IN
Enumeration date
10/17/2006
Last updated
07/24/2015
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