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NPI Code Detail

MEDICARE: DR. SARAH J LONGMIRE-COOK MD

MEDICARE: DR. SARAH J LONGMIRE-COOK 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
1208600000XSurgery Physician01062710AIN

General Provider Information

NPI Number : 1659455269
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH J LONGMIRE-COOK MD
Provider Business Mailing Address
First Line : 8550 NAAB RD STE 200
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2086
Country : US
Telephone Number : 317-875-5461
Fax Number : 317-872-1374
Provider Business Practice Location Address
First Line : 8550 NAAB RD STE 200
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2086
Country : US
Telephone Number : 317-875-5461
Fax Number : 317-872-1374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 07/08/2007

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