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Individual

DR. SHANNON M JOYCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5926 CRAWFORDSVILLE RD UNIT B, INDIANAPOLIS, IN 46224-3722
(317) 653-2730
(317) 623-1440
Mailing address
5926 CRAWFORDSVILLE RD UNIT B, INDIANAPOLIS, IN 46224-3722
(317) 653-2730
(317) 623-1440

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045328A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
01045328A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200185170
IN
Enumeration date
11/30/2005
Last updated
09/21/2018
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