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NPI Code Detail

MEDICARE: BIDDINGER MEDICAL

MEDICARE: BIDDINGER MEDICAL
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
1261QM2500XMedical Specialty Clinic/Center

General Provider Information

NPI Number : 1700818598
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIDDINGER MEDICAL
Provider Business Mailing Address
First Line : 3850 SHORE DR
Second Line : SUITE 301
City : INDIANAPOLIS
State : IN
Zip : 46254-5621
Country : US
Telephone Number : 317-387-0602
Fax Number : 317-387-0607
Provider Business Practice Location Address
First Line : 3850 SHORE DR
Second Line : SUITE 301
City : INDIANAPOLIS
State : IN
Zip : 46254-5621
Country : US
Telephone Number : 317-387-0602
Fax Number : 317-387-0607
Authorized Official
Title or Position : PRESIDENT
Name : MS. DANA M MATTHEWS
Credential :
Telephone Number : 317-387-0602
Provider Enumeration Date : 07/06/2006
Last Update Date : 08/22/2020

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Directions to “BIDDINGER MEDICAL ” Practice Location

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