Organization
CARDIOTHORACIC ANESTHESIA OF INDIANA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD STOGSDILL MD (PRESIDENT)
(317) 802-6290
Entity
Organization
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 802-6290
(317) 870-0499
Mailing address
PO BOX 6069, DEPT 18, INDIANAPOLIS, IN 46206-6069
(317) 802-6290
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
50003431
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100120820A
—
IN
Enumeration date
07/22/2005
Last updated
09/27/2010
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