Organization
GUION FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA A MEDEIROS (OFFICE MANAGER)
(317) 925-6553
Entity
Organization
Contact information
Practice address
3731 GUION RD, SUITE D, INDIANAPOLIS, IN 46222
(317) 925-6553
(317) 931-9385
Mailing address
3731 GUION RD, SUITE D, INDIANAPOLIS, IN 46222
(317) 925-6553
(317) 931-9385
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0200649B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084479
ANTHEM
IN
Enumeration date
10/19/2007
Last updated
10/25/2007
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