Individual
BRENDA ASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 902-6919
Mailing address
7454 GALLOWAY AVENUE, INDIANAPOLIS, IN 46250
(131) 790-2691
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
28101891A
IN
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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