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Individual

ERIC A YANCY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1815 N CAPITOL AVE, #304, INDIANAPOLIS, IN 46202-1288
(317) 925-7795
(317) 925-3277
Mailing address
1815 N CAPITOL AVE, #304, INDIANAPOLIS, IN 46202-1288
(317) 925-7795
(317) 925-3277

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01028228A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10062120
IN
Enumeration date
10/18/2005
Last updated
07/08/2007
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