Individual
DIANNA L FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1002 WISHARD BLVD, 2ND FL, INDIANAPOLIS, IN 46202-2872
(317) 692-2363
(317) 656-3971
Mailing address
8910 PURDUE RD, STE.500, INDIANAPOLIS, IN 46268-6100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01056313A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000238402
ANTHEM
IN
05
—
200397520
—
IN
Enumeration date
04/26/2006
Last updated
07/22/2011
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