Individual
DYLAN SOGOCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10122 LANDIS BLVD, FISHERS, IN 46040-5500
(317) 900-0210
Mailing address
10122 LANDIS BLVD, FISHERS, IN 46040-5500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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