Individual
DR. MARY REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1505 W OAK ST, ZIONSVILLE, IN 46077-2057
(844) 539-8726
(844) 539-8726
Mailing address
1505 W OAK ST STE 130, ZIONSVILLE, IN 46077-2058
(765) 571-3094
(317) 795-1146
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01049057
IN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
01049057
IN
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
IN01049057A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200326470
—
IN
Enumeration date
10/03/2006
Last updated
09/11/2024
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