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Individual

DAVID A. KOVACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-0269
(317) 567-2191
Mailing address
1120 SOUTH DRIVE, FESLER HALL, RM. 204, INDIANAPOLIS, IN 46202-5135
(317) 274-0269
(317) 614-9655

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01027800
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100324810
IN
Enumeration date
06/01/2006
Last updated
03/29/2011
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