G.e. Widdifield, MD
G.e. Widdifield, MD is a Family Medicine Physician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
Practice location Address checks out
6249 S East St Ste HIndianapolis, IN 46227-2091
Phone: (317) 787-7902
Fax: (317) 787-7912
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence IN01017158 (IN) |
|---|
Record details
| NPI number | 1124213319 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Widdifield — Administrator · (317) 787-7902 |
| NPI enumerated | September 11, 2007 |
| Last updated in NPPES | September 11, 2007 |
| Mailing address | 6249 S East St, Suite H, Indianapolis, IN 46227-2091 |
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