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NPI Code Detail

MEDICARE: MRS. JULIE ROSEMARY GEBHART PA

MEDICARE: MRS. JULIE ROSEMARY GEBHART 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
1363A00000XPhysician Assistant10000673AIN

General Provider Information

NPI Number : 1093764862
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE ROSEMARY GEBHART PA
Provider Business Mailing Address
First Line : 8450 NORTHWEST BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46278-1381
Country : US
Telephone Number : 317-802-2000
Fax Number : 317-802-2170
Provider Business Practice Location Address
First Line : 8402 HARCOURT RD STE 125
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2094
Country : US
Telephone Number : 317-802-2000
Fax Number : 317-802-3972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 05/08/2024

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