Individual
KEVIN J PUZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7250 CLEARVISTA DR, SUITE 225, INDIANAPOLIS, IN 46256-4692
(317) 537-6088
(317) 537-6092
Mailing address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 849-8350
(317) 576-6311
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01037399A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000899483
ANTHEM BCBS
IN
05
—
100354440
—
IN
Enumeration date
07/07/2005
Last updated
03/23/2021
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