Organization
ORTHOINDY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A SWADNER (ATHLETIC TRAINER)
(317) 802-2000
Entity
Organization
Contact information
Practice address
4438 CONNAUGHT WEST DR, PLAINFIELD, IN 46168-7554
(317) 555-5555
Mailing address
4438 CONNAUGHT WEST DR, PLAINFIELD, IN 46168-7554
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000689A
IN
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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