Individual
DR. JUSTIN BRETT SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
714 N SENATE AVE, STE 100, INDIANAPOLIS, IN 46202-3763
(317) 715-6381
(317) 715-6472
Mailing address
1120 SOUTH DRIVE, FESLER HALL, INDIANAPOLIS, IN 46202-5114
(317) 274-8282
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01072175A
IN
2085R0202X
Diagnostic Radiology Physician
11013779A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201106880
—
IN
01
—
P01240963
RAILROAD MEDICARE
IN
Enumeration date
06/09/2008
Last updated
01/14/2014
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