Individual
DANIEL HOMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 W 16TH ST STE 4100, INDIANAPOLIS, IN 46202-2394
(317) 963-7171
Mailing address
355 W 16TH ST STE 4100, INDIANAPOLIS, IN 46202-2394
(317) 963-7171
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
02006591A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/26/2017
Last updated
06/30/2022
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