Organization
DANIEL R. WHIPPLE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL R. WHIPPLE M.D. (OWNER)
(317) 272-2020
Entity
Organization
Contact information
Practice address
8244 E US HIGHWAY 36 STE 200, AVON, IN 46123-9621
(317) 272-2020
(317) 272-6544
Mailing address
8244 E US HIGHWAY 36 STE 200, AVON, IN 46123-9621
(317) 272-2020
(317) 272-6544
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01039952
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000088982
BCBS
IN
05
—
100134080A
—
IN
01
—
DG6130
MEDICARE RETIRED RAILROAD
IN
Enumeration date
11/20/2007
Last updated
04/04/2011
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