Individual
JOHN A WARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1115 N RONALD REAGAN PARKWAY, SUITE 206, AVON, IN 46123-6911
(317) 272-8050
(317) 272-8051
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01025470A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100062250
—
IN
Enumeration date
08/11/2005
Last updated
02/26/2014
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