Organization
GREG ANDERSON DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GREGORY ANDERSON DC (OWNER)
(317) 375-1664
Entity
Organization
Contact information
Practice address
7111 SOUTHEASTERN AVE, INDIANAPOLIS, IN 46239-1207
(317) 375-1664
(317) 352-1292
Mailing address
7111 SOUTHEASTERN AVE, INDIANAPOLIS, IN 46239-1207
(317) 375-1664
(317) 352-1292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
800759
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000313712
ANTHEM
IN
05
—
100071490B
—
IN
Enumeration date
05/09/2007
Last updated
07/25/2008
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