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NPI Code Detail

MEDICARE: DR. THOMAS WILLIAM ALLEY M.D.

MEDICARE: DR. THOMAS WILLIAM ALLEY M.D.
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
1207QG0300XGeriatric Medicine (Family Medicine) Physician01020069AIN
2207P00000XEmergency Medicine Physician01020069AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101020069BOTHERINCSR
201020069AOTHERININDIANA LICENSE

General Provider Information

NPI Number : 1831136878
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS WILLIAM ALLEY M.D.
Provider Business Mailing Address
First Line : 8780 PURDUE RD
Second Line : SUITE 7
City : INDIANAPOLIS
State : IN
Zip : 46268-6129
Country : US
Telephone Number : 317-471-8701
Fax Number : 317-471-8702
Provider Business Practice Location Address
First Line : 8780 PURDUE RD
Second Line : SUITE 7
City : INDIANAPOLIS
State : IN
Zip : 46268-6129
Country : US
Telephone Number : 317-471-8701
Fax Number : 317-471-8702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 03/07/2023

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