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Individual

DR. GARY S CREED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8325 E SOUTHPORT RD, SUITE 100, INDIANAPOLIS, IN 46259-6805
(317) 862-6609
(317) 862-4617
Mailing address
PO BOX 664056, INDIANAPOLIS, IN 46266-4056
(317) 862-6609
(317) 862-4617

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01022130A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100219830A
IN
Enumeration date
11/16/2005
Last updated
12/11/2009
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