Individual
RICHARD WILLIAM EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7930 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2691
(317) 621-6725
(317) 621-4545
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01028576A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100259370
—
IN
01
—
P01133602
MEDICARE RAILROAD
IN
Enumeration date
07/10/2006
Last updated
12/03/2015
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