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Organization

SOUTHEAST FAMILY PHYSICIANS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANET A RUSSLER (PRACTICE MANAGER)
(317) 887-1060
Entity
Organization

Contact information

Practice address
5136 E STOP 11 RD, SUITE 30, INDIANAPOLIS, IN 46237-6300
(317) 887-1060
(317) 887-1460
Mailing address
5136 E STOP 11 RD, SUITE 30, INDIANAPOLIS, IN 46237-6300
(317) 887-1060
(317) 887-1460

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
10/25/2006
Last updated
02/07/2008
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