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Individual

JUSTIN A INDYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
380 BUTTERFLY GARDENS DR, COLUMBUS, OH 43215-7508
(614) 722-2600
Mailing address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205-2664
(614) 722-2000

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
35095558
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3053949
OH
01
H650800
CGS - MEDICARE
Enumeration date
05/23/2007
Last updated
02/11/2026
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