Individual
MARK E BANGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
702 BARNHILL DR, ROC 4300, INDIANAPOLIS, IN 46202-5128
(317) 274-8660
Mailing address
550 N MERIDIAN ST, STE 114, INDIANAPOLIS, IN 46204-1207
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01039229
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006220
—
IN
Enumeration date
05/27/2006
Last updated
02/23/2010
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