Individual
HOLLY SNOW CORIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6020 CRAWFORDSVILLE RD STE 102, INDIANAPOLIS, IN 46224-3710
(317) 957-2070
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003436A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200841970
—
IN
Enumeration date
09/27/2006
Last updated
03/15/2024
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