Individual
DR. RODNEY LEE MAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 WISHARD BLVD, INDIANAPOLIS, IN 46202-2872
(317) 630-8902
Mailing address
2115 N ALABAMA ST, INDIANAPOLIS, IN 46202-1525
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01027541
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200031750
—
IN
Enumeration date
08/13/2006
Last updated
08/18/2009
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