Individual
CONNIE D HARRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7340 SHADELAND STA, SUITE 200, INDIANAPOLIS, IN 46256-3979
(317) 806-8260
(317) 806-8296
Mailing address
7340 SHADELAND STA, STE 200, INDIANAPOLIS, IN 46256-3980
(317) 328-3746
(317) 570-6432
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01036841A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091479
ANTHEM
IN
05
—
100332610
—
IN
Enumeration date
06/14/2006
Last updated
07/19/2018
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