Individual
DR. GARSON DAVID ROODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-8660
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD073272L
PA
207RH0003X
Hematology & Oncology Physician
Primary
01070545A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001843230
—
PA
05
—
201045180
—
IN
Enumeration date
02/21/2006
Last updated
01/06/2016
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