Organization
UNIVERSITY FAMILY PHYSICIANS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LUTHER (CFO)
(765) 751-2795
Entity
Organization
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-2000
Mailing address
250 N SHADELAND AVE, STE 130, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
12009088A
IN
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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