Individual
GEORGE J. SHEPLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 SOUTH DR, FESLER HALL ROOM 204, INDIANAPOLIS, IN 46202-5135
(317) 614-9850
(800) 731-0751
Mailing address
PO BOX 6069-DEPT 106, INDIANAPOLIS, IN 46206-6069
(317) 614-9850
(800) 731-0751
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01042722
IN
207LP3000X
Pediatric Anesthesiology Physician
Primary
01042722
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200005720
—
IN
Enumeration date
05/30/2006
Last updated
02/01/2021
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