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Individual

JAMES L QUALKINBUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1701 SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 567-2180
(317) 567-2191
Mailing address
PO BOX 7232, DEPT 118, INDIANAPOLIS, IN 46207-7232
(317) 567-2180
(317) 567-2191

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01032317
IN
207L00000X
Anesthesiology Physician
Primary
01032317A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100473620
IN
Enumeration date
07/14/2006
Last updated
06/04/2025
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