Individual
JULIE MARIE CLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 N SENATE BLVD, MPC 2, SUITE 4000, INDIANAPOLIS, IN 46202-1228
(317) 962-0500
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01069032A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
01069032A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000957705
ANTHEM PTAN
IN
01
—
000000975060
ANTHEM PTAN
IN
05
—
201117620
—
IN
Enumeration date
05/26/2009
Last updated
07/30/2025
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