Individual
KATIE R GUNTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRA
Contact information
Practice address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 579-2130
Mailing address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 579-2130
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
XT022920
IN
Other
Enumeration date
05/08/2019
Last updated
12/29/2020
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