Organization
AXON NETWORK SERVICES, LLC
Active
Parent organization
AXON HEALTH ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AXON HEALTH ASSOCIATES, LLC
Authorized official
DR. JERAD DALTON DO (OWNER / PROVIDER)
(317) 818-9000
Entity
Organization
Contact information
Practice address
9245 N MERIDIAN ST STE 300, INDIANAPOLIS, IN 46260-1832
(317) 818-9000
(317) 818-9009
Mailing address
9245 N MERIDIAN ST STE 300, INDIANAPOLIS, IN 46260-1832
(317) 818-9000
(317) 818-9009
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
05/19/2023
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