Individual
JAMES M SLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-0582
(317) 962-2082
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003821A
IN
363A00000X
Physician Assistant
MA056046
PA
363AS0400X
Surgical Physician Assistant
MA056046
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103197510
—
PA
01
—
12537139
CAQH
—
Enumeration date
06/01/2009
Last updated
11/16/2022
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