Organization
P.T. BUNTIN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRESLEY T BUNTIN MD (OWNER)
(317) 875-0112
Entity
Organization
Contact information
Practice address
8424 NAAB RD STE 2F, INDIANAPOLIS, IN 46260-1966
(317) 875-0112
(317) 567-2191
Mailing address
9899 E 126TH ST, FISHERS, IN 46038-2821
(317) 567-2180
(317) 567-2191
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01022686
IN
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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