Organization
INDIANA HEART PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BENJAMIN (COO)
(317) 893-1900
Entity
Organization
Contact information
Practice address
2200 JOHN R WOODEN DR, SUITE 100, MARTINSVILLE, IN 46151-1863
(317) 893-1900
(317) 893-1901
Mailing address
PO BOX 710, BEECH GROVE, IN 46107-0710
(317) 893-1880
(317) 893-1881
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100073370A
—
IN
Enumeration date
05/17/2007
Last updated
05/22/2008
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