Individual
DR. MEREDITH PRICE PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10610 N PENNSYLVANIA ST STE 101, INDIANAPOLIS, IN 46280-2000
(317) 575-6565
(317) 581-9207
Mailing address
10610 N. PENNSYLVANIA ST., SUITE 101, INDIANAPOLIS, IN 46280-2000
(317) 575-6565
(317) 581-9207
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
R71523
AZ
207VE0102X
Reproductive Endocrinology Physician
Primary
01076991A
IN
Other
Enumeration date
06/17/2009
Last updated
09/05/2017
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