Andrew Quentin Pucka
Student in an Organized Health Care Education/Training Program in Indianapolis, IN. Individual provider (NPI-1).
NPI number1073432829
StatusActive
Last updated in NPPESJul 14, 2026
Details
- NPI
- 1073432829
- Entity type
- Individual (NPI-1)
- Name
- Andrew Quentin Pucka
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2026
- Certification date
- Jul 14, 2026
- Last updated
- Jul 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | IN | Yes |
Practice location
340 W 10th StIndianapolis, IN 46202-3082
Phone 317-274-8157
Mailing address
340 W 10th StFairbanks Hall, Suite 6200
Indianapolis, IN 46202-3082
Phone 317-274-8157
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