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Organization

PHILIP ZANETEAS, PHD, MD, INC., PC

Active
Other names
Philip D. Zaneteas, PhD. MD, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BETTINA ZANETEAS MBA (PRACTICE MANAGER)
(317) 848-0800
Entity
Organization

Contact information

Practice address
9240 N MERIDIAN ST, SUITE 350, INDIANAPOLIS, IN 46260-1880
(317) 848-0800
(317) 848-0804
Mailing address
9240 N MERIDIAN ST, SUITE 350, INDIANAPOLIS, IN 46260-1880
(317) 848-0800
(317) 848-0804

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
50003491A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01040424A
INDIANA PHYSICIAN MEDICAL LICENSE
IN
01
1326091364
PHYSICIAN NPI
IN
05
200144540A
IN
01
276162700
U.S. DEPARTMENT OF LABOR
IN
01
50003491A
INDIANA CORPORATE MEDICAL LICENSE
IN
Enumeration date
03/24/2014
Last updated
03/24/2016
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