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Individual

AARON SCOTT CARLISLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8890 E 116TH ST, SUITE 300, FISHERS, IN 46038-2820
(317) 621-1500
(317) 621-1509
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01057378A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201115420
IN
01
P01221086
RR MEDICARE PTAN
IN
Enumeration date
01/05/2006
Last updated
04/19/2017
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