Individual
GAIL H VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 UNIVERSITY BLVD STE 5001, INDIANAPOLIS, IN 46202-5149
(317) 944-3966
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
01036021
IN
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
01036021
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100460310
—
IN
Enumeration date
04/24/2006
Last updated
11/23/2020
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