Individual
AMY CHRISTINE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7575 E 30TH ST, INDIANAPOLIS, IN 46219-1112
(317) 803-2515
Mailing address
7575 E 30TH ST, INDIANAPOLIS, IN 46219-1112
(317) 803-2515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000273A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000273A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
01
—
1033761
NCCPA
—
Enumeration date
06/28/2012
Last updated
08/22/2015
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