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Individual

LARRY D CRIPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
535 BARNHILL DR, RT 473, INDIANAPOLIS, IN 46202-5112
(317) 278-1186
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01043526A
IN
207RH0000X
Hematology (Internal Medicine) Physician
01043526A
IN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
01043526A
IN
207RH0003X
Hematology & Oncology Physician
01043526
IN
207RH0003X
Hematology & Oncology Physician
Primary
01043526A
IN
207RX0202X
Medical Oncology Physician
01043526A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000109804
ANTHEM PTAN
IN
05
200024940
IN
Enumeration date
04/24/2006
Last updated
03/06/2025
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