Provider First Line Business Practice Location Address:
1120 SOUTH DRIVE FESLER HALL RM 204
Provider Second Line Business Practice Location Address:
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46202-5115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-274-0275
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/08/2007