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NPI Code Detail

MEDICARE: OLYMPIA DAMARIS MING PA

MEDICARE: OLYMPIA DAMARIS MING PA
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
1363AM0700XMedical Physician Assistant10002963AIN

General Provider Information

NPI Number : 1710929195
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLYMPIA DAMARIS MING PA
Provider Business Mailing Address
First Line : 13450 N MERIDIAN ST STE 354
Second Line :
City : CARMEL
State : IN
Zip : 46032-1486
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13450 N MERIDIAN ST STE 354
Second Line :
City : CARMEL
State : IN
Zip : 46032-1486
Country : US
Telephone Number : 317-582-8931
Fax Number : 317-582-8932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 08/03/2022

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Directions to “ OLYMPIA DAMARIS MING PA” Practice Location

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