Organization
INDY ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BUCKNER DC (MEMBER)
(480) 930-4018
Entity
Organization
Contact information
Practice address
4715 STATESMEN DR STE AB, INDIANAPOLIS, IN 46250-5642
(317) 625-2481
Mailing address
PO BOX 11180, TEMPE, AZ 85284-0020
(480) 930-4018
(480) 930-4018
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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