Individual
JARED DENVER HIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA, CST
Contact information
Practice address
8141 S EMERSON AVE, INDIANAPOLIS, IN 46118
(317) 865-5633
Mailing address
2403 OAK DR, CLAYTON, IN 46118
(317) 695-5654
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
165473
IN
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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