Individual
ERIN E CONBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1002 WISHARD BLVD, INDIANAPOLIS, IN 46202-4163
(317) 944-3966
(317) 968-1354
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207SG0202X
Clinical Biochemical Genetics Physician
01081006A
IN
207SG0203X
Clinical Molecular Genetics Physician
Primary
01081006A
IN
207ZP0101X
Anatomic Pathology Physician
56509
MN
208000000X
Pediatrics Physician
01081006A
IN
208000000X
Pediatrics Physician
56509
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001226567
ANTHEM PTAN
IN
05
—
300019325
—
IN
Enumeration date
06/25/2012
Last updated
02/21/2025
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