Organization
THRIVE HUMAN OPTIMIZATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN HOGAN CRENSHAW PA-C (DIRECTOR OF OPERATIONS)
(765) 602-1995
Entity
Organization
Contact information
Practice address
9525 NORTH MERIDIAN STREET, INDIANAPOLIS, IN 46260
(765) 602-1995
Mailing address
9525 NORTH MERIDIAN STREET, INDIANAPOLIS, IN 46260
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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