Organization
NEURO HEALTH INDIANAPOLIS LLC
Active
Other names
Genesis Lifestyle Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX SPINOSO MD (AUTHORIZED OFFICIAL)
(725) 867-3337
Entity
Organization
Contact information
Practice address
1553 W OAK ST, ZIONSVILLE, IN 46077-1840
(760) 835-8962
Mailing address
1553 W OAK ST, ZIONSVILLE, IN 46077-1840
(760) 835-8962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
02/08/2021
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