Individual
EUGENE P PRESTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 SOUTH DR, FESLER HALL, RM 204, INDIANAPOLIS, IN 46202-5135
(317) 274-0273
(317) 274-0256
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
36108988
IL
207LP3000X
Pediatric Anesthesiology Physician
Primary
02002812
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200827420
—
IN
05
—
36108988
—
IL
Enumeration date
01/26/2006
Last updated
12/28/2020
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