Individual
JASON MALE (M) TUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5147
(317) 274-5555
Mailing address
1202 ELLISTON CT, CROWN POINT, IN 46307-2670
(219) 669-7609
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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