Individual
J STANLEY HILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10590 N MERIDIAN ST, INDIANAPOLIS, IN 46290-1028
(317) 338-6666
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01022768A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
01022768A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231680
—
IN
Enumeration date
02/24/2006
Last updated
02/14/2017
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