Individual
MR. MICHAEL RAY RALPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUDIOLOGIST MS CCCA
Contact information
Practice address
2320 S TIBBS AVENUE, STE A, INDIANAPOLIS, IN 46241-4801
(317) 486-1936
(317) 486-1937
Mailing address
2320 S TIBBS AVENUE, STE A, INDIANAPOLIS, IN 46241-4801
(317) 486-1936
(317) 486-1937
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001921
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093067
ANTHEM BLUE CROSS
IN
01
—
000000201103
ANTHEM BLUE CROSS
IN
01
—
AN15840270001
CIGNA
IN
Enumeration date
09/07/2006
Last updated
07/08/2007
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