Individual
DR. BRUCE HERBERT WHITLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
130 TIMBER LN, BROWNSBURG, IN 46112-1047
(317) 852-6484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01030043A
IN
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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