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Individual

SCOTT FRIEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 802-3140
(317) 870-0499
Mailing address
4685 RELIABLE PKWY, CHICAGO, IL 60686-0001
(317) 802-6301
(317) 870-0499

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01063251
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000513901
ANTHEM BLUE SHIELD
IN
05
200855640
IN
01
P00440396
RAILROAD MEDICARE
IN
Enumeration date
03/28/2007
Last updated
05/04/2009
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