Individual
DR. MARY SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6820 PARKDALE PL, STE 212, INDIANAPOLIS, IN 46254-6601
(317) 329-7022
(317) 329-7030
Mailing address
4220 KNOLLTON RD, INDIANAPOLIS, IN 46228-3335
(317) 293-3237
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01026372
IN
Other
Enumeration date
04/27/2006
Last updated
12/10/2007
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