Organization
APPLIED OSTEOPATHY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARREN P GEBHARDT DO (OWNER)
(317) 750-6018
Entity
Organization
Contact information
Practice address
2620 KESSLER BLVD DR N, STE 225, INDIANAPOLIS, IN 46220-2217
(317) 750-6018
(317) 259-7668
Mailing address
1075 BROAD RIPPLE AVE, BOX 252, INDIANAPOLIS, IN 46220-2034
(317) 750-6018
(317) 259-7668
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
02003217A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000552067
ANTHEM
IN
01
—
093299
SIHO
IN
01
—
7365329
AETNA
IN
Enumeration date
01/05/2008
Last updated
03/03/2011
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