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Individual

REGAN LEIGH CLAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1801 N SENATE BLVD STE 4000, INDIANAPOLIS, IN 46202-1184
(317) 962-2500
(317) 962-2515
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002692A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
264430839
MEDICARE
IN
05
300027668
IN
Enumeration date
04/17/2019
Last updated
02/03/2023
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