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Individual

MELODY ANN JORDAHL-IAFRATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10122 E 10TH ST STE 100, INDIANAPOLIS, IN 46229
(317) 355-5717
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01080289A
IN
207Q00000X
Family Medicine Physician
40515
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300015532
IN
Enumeration date
04/11/2007
Last updated
06/09/2021
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