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Individual

ANDREW HECTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1711 S STATE ROAD 135, SUITE C, GREENWOOD, IN 46143-6481
(317) 881-7400
(317) 881-7477
Mailing address
1711 S STATE ROAD 135, SUITE C, GREENWOOD, IN 46143-6481
(317) 881-7400
(317) 881-7477

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050892A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000313282
ANTHEM
IN
05
200198870
IN
01
P00089437
RR MEDICARE
IN
Enumeration date
05/22/2006
Last updated
08/28/2013
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