Individual
RICHARD PASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8780 PURDUE RD, SUITE 7, INDIANAPOLIS, IN 46268-6129
(317) 471-8701
(317) 471-8702
Mailing address
8780 PURDUE ROADSUITE 7, SUITE 7, INDIANAPOLIS, IN 46268
(317) 471-8701
(317) 471-8702
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01053725
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
01053725A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200337440
—
IN
Enumeration date
10/24/2006
Last updated
11/04/2009
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