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American Health Network Of Indiana, LLC

Obstetrics & Gynecology in Avon, IN. Organization (NPI-2).

NPI number1760635403
StatusActive
Last updated in NPPESOct 28, 2008

Details

NPI
1760635403
Entity type
Organization (NPI-2)
Legal business name
American Health Network Of Indiana, LLC
Organization subpart
Yes
Enumeration date
Oct 28, 2008
Last updated
Oct 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology––Yes

Practice location

1115 Ronald Reagan Pkwy
Suite 360
Avon, IN 46123-6910

Phone 317-272-7013

Mailing address

4850 Century Plaza Rd
Suite 180
Indianapolis, IN 46254-5476

Phone 317-291-0184

Authorized official

Ben H Park
President And Ceo
3175806314

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