Individual
JASON SAUNDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N. SENATE BLVD., AG012, INDIANPOLIS, IN 46202
(317) 944-4148
(317) 962-8652
Mailing address
250 N SHADELAND AVE, SUITE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(317) 962-3886
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01075345A
IN
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
1117051A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201185500
—
IN
Enumeration date
09/04/2013
Last updated
08/04/2015
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