Individual
AMANDA BEYER DEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR # RI5837, INDIANAPOLIS, IN 46202-5109
(317) 278-6425
Mailing address
705 RILEY HOSPITAL DR # RI5837, INDIANAPOLIS, IN 46202-5109
(317) 278-6425
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01090148A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/24/2020
Last updated
07/01/2023
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