Organization
COMMUNITY PHYSICIANS OF INDIANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK E RANKIN MD (CMO)
(317) 621-1659
Entity
Organization
Contact information
Practice address
14540 PRAIRIE LAKES BLVD NORTH, SUITE 105, NOBLESVILLE, IN 46060-4370
(317) 621-0370
(317) 621-0383
Mailing address
14540 PRAIRIE LAKES BLVD NORTH, SUITE 105, NOBLESVILLE, IN 46060-4370
(317) 621-0370
(317) 621-0383
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201168260F
—
IN
Enumeration date
01/25/2013
Last updated
11/19/2013
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