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Individual

MRS. ASHLEY M QUADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
8240 NAAB RD, SUITE 200, INDIANAPOLIS, IN 46260-5927
(317) 876-2330
(317) 876-2320
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 807-1262
(317) 859-4268

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000871A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000485659
ANTHEM PIN NUMBER
IN
01
1487680518
GROUP NPI
IN
01
P00701337
MEDICARE RAILROAD
IN
Enumeration date
06/25/2006
Last updated
09/16/2014
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