Organization
GASTROENTEROLOGY CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN D CLARKE MD (PRESIDENT)
(317) 848-6900
Entity
Organization
Contact information
Practice address
7250 CLEARVISTA DRIVE, SUITE 375, INDIANAPOLIS, IN 46256
(317) 621-2100
(317) 621-2105
Mailing address
13421 OLD MERIDIAN STREET, SUITE 201, CARMEL, IN 46032
(317) 848-6900
(317) 848-6914
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01034548A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100378800
—
IN
Enumeration date
03/23/2007
Last updated
10/20/2020
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