Individual
PHILIP DEAN ZANETEAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., M.D.
Contact information
Practice address
9240 N MERIDIAN ST, SUITE 350, INDIANAPOLIS, IN 46260-1880
(317) 848-0800
(317) 848-0804
Mailing address
PO BOX 660264, INDIANAPOLIS, IN 46266-0264
(317) 770-0055
(317) 770-0066
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01040424
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200144540
—
IN
Enumeration date
05/19/2006
Last updated
11/01/2011
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