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Individual

PEYTON STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
401 E 34TH ST, INDIANAPOLIS, IN 46205-3754
(317) 396-0814
Mailing address
401 E 34TH ST, INDIANAPOLIS, IN 46205-3754

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004048A
IN
363A00000X
Physician Assistant
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/29/2022
Last updated
03/19/2024
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