Organization
INDICARE VITALS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GORDON (CEO)
(317) 332-2692
Entity
Organization
Contact information
Practice address
1427 W 86TH ST, SUITE 326, INDIANAPOLIS, IN 46260-2103
(317) 332-2692
Mailing address
1427 W 86TH ST, SUITE 326, INDIANAPOLIS, IN 46260-2103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01038358B
IN
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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