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NPI Code Detail

MEDICARE: DR. ROBERT L DEATON MD

MEDICARE: DR. ROBERT L DEATON 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
1207V00000XObstetrics & Gynecology Physician01025331AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487620779
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT L DEATON MD
Provider Business Mailing Address
First Line : 11711 BRADFORD PL
Second Line :
City : CARMEL
State : IN
Zip : 46033-3393
Country : US
Telephone Number : 317-848-6990
Fax Number : 317-575-7333
Provider Business Practice Location Address
First Line : 8111 TOWNSHIP LINE RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2479
Country : US
Telephone Number : 317-575-7300
Fax Number : 317-575-7333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 07/19/2018

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