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Organization

COMMUNITY PHYSICIAN OF INDIANA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICK RANKIN M.D. (CHIEF MEDICAL OFFICER)
(317) 621-9312
Entity
Organization

Contact information

Practice address
7240 SHADELAND STA, SUITE 300, INDIANAPOLIS, IN 46256-3928
(317) 621-9312
Mailing address
7240 SHADELAND STA, SUITE 300, INDIANAPOLIS, IN 46256-3928
(317) 621-9312

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28193222A
IN

Other

Enumeration date
02/16/2015
Last updated
02/16/2015
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