Individual
STEPHANIE BOOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8101 CLEARVISTA PKWY STE 185, INDIANAPOLIS, IN 46256-4691
(317) 621-9000
(317) 621-9190
Mailing address
8325 CENTRAL AVE, INDIANAPOLIS, IN 46240-2230
(810) 434-1159
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01076731A
IN
Other
Enumeration date
05/09/2013
Last updated
06/14/2023
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