Individual
DR. GREGORY T JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 SOUTH DR, FH 204, INDIANAPOLIS, IN 46202-5135
(317) 274-0274
(317) 274-0256
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01069231A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
06/11/2008
Last updated
11/18/2020
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