Individual
DEBRA KNIFFIN ZANCANARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
(317) 338-7510
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01030289A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200191630
—
IN
Enumeration date
11/29/2005
Last updated
04/01/2015
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