Individual
DORIS M HARDACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
702 BARNHILL DR, INDIANAPOLIS, IN 46202-5128
(317) 274-0275
(317) 567-2191
Mailing address
250 N SHADELAND AVE RM 204, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01042425
IN
207LP3000X
Pediatric Anesthesiology Physician
01042425A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100379480
—
IN
Enumeration date
05/14/2006
Last updated
01/18/2021
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