Individual
TROY A ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 W JACKSON ST, MUNCIE, IN 47304-4307
(765) 281-6920
(765) 281-6151
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01041641A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312982
ANTHEM
IN
05
—
100374730
—
IN
01
—
IN1868004
MEDICARE
IN
01
—
P00099379
RR MEDICARE
IN
Enumeration date
07/19/2006
Last updated
12/13/2022
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