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Individual

JORDAN SZPAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAA

Contact information

Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 274-0275
(317) 274-0256
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75000151A
IN
367H00000X
Anesthesiologist Assistant
67.000276
OH

Other

Enumeration date
06/13/2016
Last updated
11/06/2023
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