Individual
MARC J ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 S JACKSON ST, FRANKFORT, IN 46041-3313
(765) 656-3000
(317) 968-1321
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01052384
IN
207P00000X
Emergency Medicine Physician
Primary
01052384A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365250
ANTHEM
IN
05
—
200288930
—
IN
01
—
930097175
RAIL ROAD MEDICARE
IN
01
—
POO266479
RAIL ROAD MEDICARE
IN
Enumeration date
07/18/2006
Last updated
02/02/2022
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