Individual
DR. JON S CARDINAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7979 N SHADELAND AVE STE 310, INDIANAPOLIS, IN 46250-2042
(317) 621-3970
(317) 621-3087
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01080104A
IN
208600000X
Surgery Physician
MD428571
PA
2086X0206X
Surgical Oncology Physician
Primary
01080104A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300013128
—
IN
Enumeration date
07/31/2008
Last updated
08/10/2023
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