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NPI Code Detail

MEDICARE: DR. JOE BLINN FOX MD

MEDICARE:  DR. JOE BLINN FOX  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0133483AIN

General Provider Information

NPI Number : 1669703708
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOE BLINN FOX MD
Provider Business Mailing Address
First Line : 220 VIRGINIA AVE
Second Line : IN 0205-A547
City : INDIANAPOLIS
State : IN
Zip : 46204-3709
Country : US
Telephone Number : 317-287-8088
Fax Number :
Provider Business Practice Location Address
First Line : 220 VIRGINIA AVE
Second Line : IN 0205-A547
City : INDIANAPOLIS
State : IN
Zip : 46204-3709
Country : US
Telephone Number : 317-287-8088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2010
Last Update Date : 01/28/2010

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Directions to “ DR. JOE BLINN FOX MD” Practice Location

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