Provider First Line Business Practice Location Address:
720 ESKENAZI AVE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF MEDICAL EDUCATION
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46202-5166
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-880-5361
Provider Business Practice Location Address Fax Number:
317-614-9655
Provider Enumeration Date:
03/21/2012