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Individual

DR. HADLEY ELIZABETH RITTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11725 N ILLINOIS ST, SUITE 275, CARMEL, IN 46032-3009
(317) 688-2790
(317) 688-4884
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(317) 963-0860

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01066186A
IN
208600000X
Surgery Physician
091719
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000624840
ANTHEM PIN
IN
05
200950790
IN
Enumeration date
05/12/2008
Last updated
01/28/2021
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