180 Enterprise

Specialty details in registry · Indianapolis, IN

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At a glance

3430 Cork Bend Dr, Indianapolis, IN 46239-7669

NPPES record updated Dec 27, 2020. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

3430 Cork Bend Dr
Indianapolis, IN 46239-7669
Professional details: NPI, taxonomy & registry record
NPI1619564549
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
101YA0400X
Enumeration date
Dec 27, 2020
Record updated
Dec 27, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101YA0400X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3430 Cork Bend Dr
Indianapolis, IN 46239-7669
Phone
(317) 966-7772
Mailing address
3430 CORK BEND DR

INDIANAPOLIS, IN 462397669
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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