Individual
ROBERT DAVID DENYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 274-0275
(317) 274-0256
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75000149A
IN
367H00000X
Anesthesiologist Assistant
67.000196
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102342660
ANTHEM PTAN
IN
Enumeration date
07/05/2012
Last updated
12/04/2024
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