Organization
CLINICAL INNOVATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DUST (CEO)
(317) 284-7700
Entity
Organization
Contact information
Practice address
1482 SOUTHSIDE DR, COLUMBUS, IN 47201-2738
(812) 371-4292
Mailing address
1482 SOUTHSIDE DR, COLUMBUS, IN 47201-2738
(812) 371-4292
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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