Longevity Institute of Indiana, PC
Longevity Institute of Indiana, PC provides Dermatology Physician services in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10291 N Meridian St Ste 300Indianapolis, IN 46290-1076 Not confirmed with CMS for 12 years — call before visiting
Phone: (317) 574-1677
Fax: (317) 574-1688
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 01021582A (IN) |
|---|
Record details
| NPI number | 1487842860 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Arthur Sumrall — Owner · (317) 574-1677 |
| NPI enumerated | October 10, 2007 |
| Last updated in NPPES | July 3, 2014 |
| Mailing address | 10291 N Meridian St, Suite 300, Indianapolis, IN 46290-1076 |
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