Individual
DR. PAUL E DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2030 CHURCHMAN AVE, BEECH GROVE, IN 46107-1044
(317) 786-9285
(317) 781-2793
Mailing address
PO BOX 664056, INDIANAPOLIS, IN 46266-4056
(317) 786-9285
(317) 781-2793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01030884A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100325610A
—
IN
Enumeration date
11/15/2005
Last updated
06/27/2011
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