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AZARIAS SHAMUS LONBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1481 W 10TH ST, MEDICINE 111, INDIANAPOLIS, IN 46202-2803
(317) 554-0181
(317) 554-0105
Mailing address
5901 PENWAY ST, INDIANAPOLIS, IN 46224-1236
(317) 328-5230

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01059165A
IN

Other

Enumeration date
05/12/2006
Last updated
03/14/2012
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