Organization
RICHARD L. ROUDEBUSH VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANA LEE JANSON RD (CLINICAL DIETITIAN)
(317) 988-3883
Entity
Organization
Contact information
Practice address
1816 LARKFIELD CT APT 563, INDIANAPOLIS, IN 46260-2562
(317) 988-3883
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3883
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
E145066872910
MN
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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