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Individual

DR. EUGENE P CEPPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
545 BARNHILL DR, INDIANAPOLIS, IN 46202-5112
(317) 274-0949
(317) 274-5717
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 963-0860

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01069436A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000735783
ANTHEM PIN
IN
05
201030030
IN
Enumeration date
04/16/2008
Last updated
02/22/2021
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