Provider First Line Business Practice Location Address:
1120 SOUTH DR
Provider Second Line Business Practice Location Address:
OFFICE OF GME, IU SCHOOL OF MEDICINE, FESLER HALL RM224
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46202-5135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-274-5500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/26/2011