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Individual

DR. JAMES C SLOAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(765) 448-7619
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01071412A
IN
208800000X
Urology Physician
MS0000037426
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000786001
ANTHEM PIN
IN
01
020247799
EEOICP
TN
05
201092050
IN
01
3106044
BLUE CROSS
TN
01
4060948
BLUE CROSS
TN
01
CI2260
RAILROAD MEDICARE
TN
Enumeration date
07/29/2005
Last updated
12/13/2022
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