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Individual

DAVID G DEWAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11 SKYVIEW DR, CHESTERFIELD, IN 46017-1057
(765) 378-1572
(765) 378-1580
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01043269
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15D0889968
CLIA
IN
05
200030980
IN
01
CK6957
RAILROAD GROUP
IN
01
DC3600
RAILROAD GROUP
IN
01
P00426385
RAILROAD INDIVIDUAL
IN
01
P00714993
RAILROAD INDIVIDUAL
IN
Enumeration date
07/05/2006
Last updated
07/21/2009
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