Individual
RICHARD L ANNINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1314 E 7TH ST, SUITE 203, AUBURN, IN 46706-2535
(260) 925-5511
(260) 925-8353
Mailing address
1314 E 7TH ST, SUITE 320, AUBURN, IN 46706-2535
(260) 927-8105
(260) 927-8026
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01039769A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000081119
ANTHEM
IN
01
—
1035
PHYSICIANS HEALTH PLAN
IN
Enumeration date
08/09/2005
Last updated
07/08/2007
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