Organization
SMM,LLC
Active
Other names
Pediatric Gastroenterology Associates of Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY OCHSNER BUSINESS OFFICE (CREDENTIALING SPECIALIST)
(317) 781-3604
Entity
Organization
Contact information
Practice address
8402 HARCOURT RD, STE 402, INDIANAPOLIS, IN 46260-2074
(317) 338-9450
(317) 338-9567
Mailing address
8402 HARCOURT RD, STE 402, INDIANAPOLIS, IN 46260-2074
(317) 338-9450
(317) 338-9567
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
04/20/2008
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