Individual
DR. JUSTIN DAVID-GUS MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7390 BUSINESS CENTER DR, AVON, IN 46123-8662
(317) 272-7000
(317) 272-4302
Mailing address
7390 BUSINESS CENTER DR, AVON, IN 46123-8662
(317) 272-7000
(317) 272-4302
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002367A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000561996
ANTHEM
IN
05
—
20088440
—
IN
Enumeration date
01/11/2008
Last updated
07/29/2008
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