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Individual

RICHARD ALAN STANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
5905 S EMERSON AVE, SUITE 300, INDIANAPOLIS, IN 46237-2402
(317) 784-7039
(317) 784-7046
Mailing address
5905 S EMERSON AVE, SUITE 300, INDIANAPOLIS, IN 46237-2406
(317) 784-7039
(317) 784-7046

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000596A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100227280
IN
Enumeration date
10/07/2005
Last updated
06/19/2008
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