Organization
INDYTRADECENTER IN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER L WILSON (OWNER)
(317) 557-7627
Entity
Organization
Contact information
Practice address
7929 PALMARO CIR, INDIANAPOLIS, IN 46239-8784
(317) 557-7627
(317) 353-8333
Mailing address
7929 PALMARO CIR, INDIANAPOLIS, IN 46239-8784
(317) 557-7627
(317) 353-8333
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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