Organization
G.E. WIDDIFIELD, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FREMONT WIDDIFIELD (ADMINISTRATOR)
(317) 787-7902
Entity
Organization
Contact information
Practice address
6249 S EAST ST, SUITE H, INDIANAPOLIS, IN 46227-2091
(317) 787-7902
(317) 787-7912
Mailing address
6249 S EAST ST, SUITE H, INDIANAPOLIS, IN 46227-2091
(317) 787-7902
(317) 787-7912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IN01017158
IN
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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