Organization
INDIANAPOLIS BREAST CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIA M SPEARS MD (OWNER)
(317) 872-3583
Entity
Organization
Contact information
Practice address
1950 W 86TH ST, SUITE 300, INDIANAPOLIS, IN 46260-2076
(317) 872-3583
(317) 872-9856
Mailing address
1950 W 86TH ST, SUITE 300, INDIANAPOLIS, IN 46260-2076
(317) 872-3583
(317) 872-9856
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01040614
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200346250
—
IN
Enumeration date
06/14/2006
Last updated
08/11/2008
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