Individual
ERIC JOHN REARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004936A
IN
363A00000X
Physician Assistant
2549
WV
363A00000X
Physician Assistant
PENDING
IN
Other
Enumeration date
08/02/2021
Last updated
07/07/2026
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