Organization
PEDIATRIC ASSOCIATES OF AVON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD JOY MCINTIRE MD (PHYSICIAN)
(317) 217-2900
Entity
Organization
Contact information
Practice address
1115 RONALD REAGAN PKWY, SUITE 136, AVON, IN 46123-6910
(317) 217-2900
(317) 217-2909
Mailing address
1115 RONALD REAGAN PKWY, SUITE 136, AVON, IN 46123-6910
(317) 217-2900
(317) 217-2909
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01038641
IN
208000000X
Pediatrics Physician
Primary
01049242
IN
Other
Enumeration date
12/05/2005
Last updated
08/22/2020
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