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Individual

ANASTASY ALEX MOROZOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
Mailing address
8433 HARCOURT RD, INDIANAPOLIS, IN 46260-2190
(317) 338-9393

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004175A
IN
363A00000X
Physician Assistant
Primary
1212253
IN

Other

Enumeration date
09/18/2023
Last updated
04/30/2024
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