Organization
COMMUNITY PEDIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAM L. JENNINGS (OFFICE COORDINATOR)
(317) 899-9588
Entity
Organization
Contact information
Practice address
1515 N POST RD, INDIANAPOLIS, IN 46219-4213
(317) 898-5437
(317) 898-4970
Mailing address
1515 N POST RD, INDIANAPOLIS, IN 46219-4213
(317) 898-5437
(317) 898-4970
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/19/2006
Last updated
08/22/2020
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