Individual
MICHAEL D BORTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRA
Contact information
Practice address
714 N SENATE AVE, SUITE 100, INDIANAPOLIS, IN 46202-3763
(317) 715-6401
(317) 715-6415
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
XT011966
IN
247100000X
Radiologic Technologist
Primary
XT011966
IN
Other
Enumeration date
02/12/2015
Last updated
10/29/2024
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