Organization
COMPREHENSIVE NEUROLOGIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A MUCKWAY MD (CO-PRESIDENT)
(317) 718-1355
Entity
Organization
Contact information
Practice address
5250 E US HIGHWAY 36, SUITE 210, AVON, IN 46123-9199
(317) 718-1355
(317) 718-1358
Mailing address
5250 E US HIGHWAY 36, SUITE 210, AVON, IN 46123-9199
(317) 718-1355
(317) 718-1358
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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