Individual
SHINE DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1440 E COUNTY LINE RD STE 2100, INDIANAPOLIS, IN 46227-0963
(317) 887-7968
(317) 497-2526
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003132A
IN
Other
Enumeration date
12/09/2020
Last updated
06/11/2021
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