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Individual

JAMES W EDMONDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 HOSPITAL LN, SUITE 205, INDIANAPOLIS, IN 46202-5112
(317) 745-7445
(317) 745-7449
Mailing address
1100 SOUTHFIELD DR, SUITE 1370, PLAINFIELD, IN 46168-4498
(317) 837-5571
(317) 837-5580

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01022719
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100277890
IN
Enumeration date
04/20/2006
Last updated
03/04/2021
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