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Individual

DARREN CAUDILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1115 N RONALD REAGAN PKWY, SUITE 206, AVON, IN 46123-6911
(317) 217-2888
(317) 217-2999
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02003134A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200857550
IN
01
P00886797
RAILROAD MEDICARE
IN
Enumeration date
09/21/2005
Last updated
03/16/2025
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