Individual
NEVIN SHANE MCIVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6985 W 38TH ST, INDIANAPOLIS, IN 46254-3916
(317) 243-0028
(317) 243-0805
Mailing address
5455 HARRISON PARK LN, INDIANAPOLIS, IN 46216-2245
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003119A
IN
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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