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Individual

BARBARA RUTH DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
911 E 86TH ST STE 108, INDIANAPOLIS, IN 46240-4002
(317) 756-9896
(317) 863-1052
Mailing address
9568 MEETING ST, FISHERS, IN 46038-8300
(317) 695-6878
(317) 863-1052

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01039457A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000313263
ANTHEM
IN
05
100217470
IN
Enumeration date
07/27/2006
Last updated
01/09/2025
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