Individual
ERIC GUIDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1664 W SMITH VALLEY RD, GREENWOOD, IN 46142-1550
(317) 887-7640
(317) 865-8040
Mailing address
1664 W SMITH VALLEY RD, GREENWOOD, IN 46142-1550
(317) 887-7640
(317) 865-8040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032573A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000507775
ANTHEM
IN
Enumeration date
02/16/2007
Last updated
05/29/2008
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