Individual
DR. WILLIAM LEE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 PENNSYLVANIA PKWY, SUITE 205, INDIANAPOLIS, IN 46280-2301
(317) 817-1300
(317) 817-1306
Mailing address
201 PENNSYLVANIA PKWY, SUITE 205, INDIANAPOLIS, IN 46280-2301
(317) 817-1300
(317) 817-1306
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
01025354A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084731
ANTHEM
IN
05
—
100326540C
—
IN
Enumeration date
08/11/2006
Last updated
07/08/2007
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