Organization
UNIVERSITY TRANSPLANT ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED JOSEPH TECTOR III M.D., PH.D. (CHIEF MEDICAL OFFICER)
(317) 944-4370
Entity
Organization
Contact information
Practice address
550 UNIVERSITY BLVD, UH 4601, INDIANAPOLIS, IN 46202-5149
(317) 944-4370
(317) 948-3268
Mailing address
550 UNIVERSITY BLVD, UH 4601, INDIANAPOLIS, IN 46202-5149
(317) 944-4370
(317) 948-3268
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
01036924A
IN
204F00000X
Transplant Surgery Physician
Primary
01037956A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200023270A
—
IN
Enumeration date
07/06/2006
Last updated
06/11/2012
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