Individual
ROBERT MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 ALBANY ST, BEECH GROVE, IN 46107-1541
(317) 783-8148
Mailing address
PO BOX 7112, DEPT. #31, INDIANAPOLIS, IN 46207-7112
(317) 802-3151
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01045168
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200101290
—
IN
Enumeration date
08/12/2006
Last updated
07/09/2007
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