Organization
ZIONSVILLE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SHULL MD (OWNER)
(317) 873-3088
Entity
Organization
Contact information
Practice address
55 BRENDON WAY, STE 300, ZIONSVILLE, IN 46077-1961
(317) 873-3088
(317) 873-3050
Mailing address
55 BRENDON WAY, STE 300, ZIONSVILLE, IN 46077-1961
(317) 873-3088
(317) 873-3050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01026364
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508931650
PHYSICIAN INDIVIDUAL NPI
IN
Enumeration date
05/11/2007
Last updated
12/17/2007
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