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Organization

EMERGENCY PHYSICIANS OF INDIANAPOLIS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RANDALL TODD MD (PRESIDENT)
(317) 528-8148
Entity
Organization

Contact information

Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-8148
(317) 528-8115
Mailing address
PO BOX 7112, DEPT 31, INDIANAPOLIS, IN 46207-7112
(317) 802-3151
(317) 870-0499

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100132720
IN
Enumeration date
05/23/2006
Last updated
03/31/2021
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