Individual
YANCY DOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1050 WISHARD BLVD, INDIANAPOLIS, IN 46202-2872
(317) 278-9581
Mailing address
10764 BOULDER RIDGE DR, BROWNSBURG, IN 46112-7065
(530) 386-0330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004153A
IN
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300085084
—
IN
Enumeration date
12/13/2022
Last updated
01/09/2024
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