Individual
AMY LYNN DORWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 W 10TH ST, FM 400, INDIANAPOLIS, IN 46202-2859
(317) 630-6025
Mailing address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-6025
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01064966A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000651723
ANTHEM PTAN
IN
Enumeration date
09/03/2008
Last updated
12/03/2024
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