Individual
MARK THOMAS DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 N SENATE BLVD STE 535, INDIANAPOLIS, IN 46202-1204
(317) 962-6467
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01085449A
IN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MT188958
PA
Other
Enumeration date
12/28/2006
Last updated
12/11/2021
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