MEDICARE: ZIONSVILLE OB/GYN

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
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1043225790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZIONSVILLE OB/GYN

Provider Business Mailing Address
First Line	:	1275 PARKWAY DR
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-1953
Country	:	US
Telephone Number	:	317-873-8900
Fax Number	:	317-873-2655

Provider Business Practice Location Address
First Line	:	1275 PARKWAY DR
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-1953
Country	:	US
Telephone Number	:	317-873-8900
Fax Number	:	317-873-2655

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BETTY RANEY
Credential	:
Telephone Number	:	317-873-8900

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	08/22/2020

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Directions to “ZIONSVILLE OB/GYN ” Practice Location

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