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Organization

COMMUNITY PHYSICIANS OF INDIANA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY JAVORKA (COO)
(317) 621-1591
Entity
Organization

Contact information

Practice address
3660 GUION RD, SUITE 230B, INDIANAPOLIS, IN 46222-1691
(317) 644-5005
(317) 644-5006
Mailing address
3660 GUION RD, SUITE 230B, INDIANAPOLIS, IN 46222-1691
(317) 644-5005
(317) 644-5006

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
213E00000X
Podiatrist
Primary
213ES0000X
Sports Medicine Podiatrist

Other

Enumeration date
07/15/2015
Last updated
09/30/2016
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