Individual
DR. BENNETT BENITO DESADIER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 W 86TH ST, STE 305, INDIANAPOLIS, IN 46260-1931
(317) 334-1692
(317) 334-1693
Mailing address
2020 W 86TH ST, STE 305, INDIANAPOLIS, IN 46260-1931
(317) 334-1692
(317) 334-1693
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
024318
IN
Other
Enumeration date
06/08/2005
Last updated
07/08/2007
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