Individual
JENNIFER PURTLEBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10590 N MERIDIAN ST, SUITE 105, INDIANAPOLIS, IN 46290-1028
(317) 583-7800
(317) 583-7601
Mailing address
10590 N MERIDIAN ST, SUITE 105, INDIANAPOLIS, IN 46290-1028
(317) 583-7800
(317) 583-7601
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
F01149
IN
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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