Individual
DR. JANE A. PARDIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01031102A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000575566
ANTHEM
IN
01
—
000000671398
ANTHEM
IN
05
—
100236270
—
IN
Enumeration date
11/02/2005
Last updated
08/25/2014
Update your record
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