Individual
THOMAS L PRIDDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
429 NORTH PENNSYLVANIA STREET,, SUITE 400, INDIANAPOLIS, IN 46204-0001
(317) 791-6691
(317) 791-6680
Mailing address
429 N PENNSYLVANIA ST, SUITE 400, INDIANAPOLIS, IN 46204-1815
(317) 791-6691
(317) 791-6680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000934A
IN
363AS0400X
Surgical Physician Assistant
10000934A
IN
Other
Enumeration date
07/10/2007
Last updated
01/26/2011
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