Individual
DINA G PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6640 INTECH BLVD STE 300, INDIANAPOLIS, IN 46278-2012
(317) 275-8308
(317) 275-6066
Mailing address
6640 INTECH BLVD STE 300, INDIANAPOLIS, IN 46278-2012
(317) 275-8308
(317) 275-6066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002195
CT
363A00000X
Physician Assistant
Primary
10001245A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D400001392
MEDICARE PTAN
—
Enumeration date
11/11/2008
Last updated
11/16/2012
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