Organization
DAVID B. ENSLEY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE HAMILTON (PRACTICE ADMINISTRATOR)
(317) 887-9800
Entity
Organization
Contact information
Practice address
7855 S EMERSON AVE, SUITE D, INDIANAPOLIS, IN 46237-8668
(317) 887-9800
(317) 887-9802
Mailing address
7855 S EMERSON AVE, SUITE D, INDIANAPOLIS, IN 46237-8668
(317) 887-9800
(317) 887-9802
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01052067A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000648177
ANTHEM ID
IN
Enumeration date
01/16/2010
Last updated
02/09/2012
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