Organization
INDIANA WOMENS ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER A DAVIS (OFFICE MANAGER)
(317) 415-6700
Entity
Organization
Contact information
Practice address
8301 HARCOURT RD, STE 201, INDIANAPOLIS, IN 46260
(317) 415-6700
(317) 415-6707
Mailing address
PO BOX 78226, INDIANAPOLIS, IN 46278-0226
(317) 415-6700
(317) 415-6707
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000345948
ANTHEM
—
Enumeration date
10/24/2006
Last updated
02/26/2009
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