Individual
SCOTT R ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
40 N RANGELINE RD, CARMEL, IN 46032-1741
(317) 989-8463
(877) 257-4003
Mailing address
40 N RANGELINE RD, CARMEL, IN 46032-1741
(317) 989-8463
(877) 257-4003
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02002894
IN
208D00000X
General Practice Physician
Primary
02002894A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200344790
—
IN
Enumeration date
08/12/2006
Last updated
04/10/2023
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