Organization
CLINICAL MED STATS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MASON (CEO)
(317) 332-6164
Entity
Organization
Contact information
Practice address
7915 S EMERSON AVE, SUITE B226, INDIANAPOLIS, IN 46237-8556
(317) 332-6164
Mailing address
7915 S EMERSON AVE, SUITE B226, INDIANAPOLIS, IN 46237-8556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045361A
IN
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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