Individual
AVERY HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
12715 ROAN LN, INDIANAPOLIS, IN 46236-5108
(317) 417-9533
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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