Organization
HEALTH 1ST OF GREENFIELD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY JOE TOLLE (PRESIDENT/OWNER)
(317) 522-2303
Entity
Organization
Contact information
Practice address
4625 S EMERSON, INDIANAPOLIS, IN 46203-0000
(317) 522-2303
(317) 522-2304
Mailing address
4625 S EMERSON, INDIANAPOLIS, IN 46203-0000
(317) 522-2303
(317) 522-2304
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
05/23/2013
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