Individual
DR. PAUL BRADLEY FOSSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8414 NAAB RD STE 120, INDIANAPOLIS, IN 46260-1972
(317) 338-7578
(317) 338-7494
Mailing address
8414 NAAB RD STE 120, INDIANAPOLIS, IN 46260-1972
(317) 338-7578
(317) 338-7494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11017882A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2014
Last updated
11/02/2014
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