Provider First Line Business Practice Location Address:
IU SCHOOL OF MEDICINE BUSINESS ADDRESS 340 W 10TH ST. F
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:
46201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-274-8157
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/24/2025