Organization · Type 2 NPI
Glendale Advanced Health, LLC
General Practice Physician · Indianapolis, IN
NPI number
1992311104
Active
Practice location
6321 N. Keystone Ave, Ste. B
Indianapolis, IN 46220
Mailing address
6321 N Keystone Ave, Suite B
Indianapolis, IN 46220-2156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1992311104
Glendale Advanced Health, LLC's National Provider Identifier is 1992311104, issued on Sep 22, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 23, 2021.