Individual
JARED ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 N MADISON AVE, ANDERSON, IN 46011-3453
(765) 932-2928
(317) 355-8734
Mailing address
6626 E 75TH STREET, STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02003194
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200873060
—
IN
01
—
P01424278
RAIL ROAD
IN
Enumeration date
06/19/2007
Last updated
11/27/2023
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