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Individual

DEREK SLOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6950 HILLSDALE CT, INDIANAPOLIS, IN 46250-2040
(317) 621-7740
(317) 621-7608
Mailing address
6950 HILLSDALE CT, INDIANAPOLIS, IN 46250-2040
(317) 621-7740
(317) 621-7608

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
11022440A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/31/2022
Last updated
07/17/2024
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