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Individual

MR. PETER YOON CHOI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1011 MAIN ST, STE 110, INDIANAPOLIS, IN 46224-6977
(317) 957-9050
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004430A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201165350
IN
01
P01512399
RAILROAD PTAN
IN
Enumeration date
05/07/2012
Last updated
12/06/2021
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