Provider First Line Business Practice Location Address:
8320 MADISON AVE.
Provider Second Line Business Practice Location Address:
ADULT & CHILD HEALTH
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-882-5122
Provider Business Practice Location Address Fax Number:
317-888-8642
Provider Enumeration Date:
05/25/2017