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Organization

WOUND CARE SPECIALISTS OF INDIANA PC

Active
Other names
Jodie R. Harper, MD, PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JODIE R HARPER M.D. (PRESIDENT)
(317) 796-3897
Entity
Organization

Contact information

Practice address
1200 W CARMEL DR STE 103, CARMEL, IN 46032-8707
(800) 927-6316
(888) 505-6818
Mailing address
1200 W CARMEL DR STE 103, CARMEL, IN 46032-8707
(800) 927-6316
(888) 505-6818

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
50004699A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000368687
ANTHEM GROUP NUMBER
IN
01
1003817297
NPI
IN
01
1275667677
NPI - GROUP
05
200361260
IN
Enumeration date
03/15/2007
Last updated
12/15/2016
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