Provider First Line Business Practice Location Address: 
429 E VERMONT ST
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
INDIANAPOLIS
    Provider Business Practice Location Address State Name: 
IN
    Provider Business Practice Location Address Postal Code: 
46202-3690
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
317-723-3181
    Provider Business Practice Location Address Fax Number: 
317-723-3632
    Provider Enumeration Date: 
01/06/2016