Individual
MR. CHAD S GABBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3200 COLD SPRING RD, INDIANAPOLIS, IN 46222-1960
(317) 209-6820
Mailing address
8389 BARSTOW DR, FISHERS, IN 46038-4444
(317) 955-6173
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
36001077A
IN
2255A2300X
Athletic Trainer
Primary
36001077A
IN
Other
Enumeration date
05/12/2010
Last updated
05/13/2010
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