Grand Old Docs of the Southside
Grand Old Docs of the Southside 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
8920 Southpointe Dr Ste E-1Indianapolis, IN 46227-7509
Phone: (317) 882-0535
Fax: (317) 882-0173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 01022713A (IN) |
|---|
Record details
| NPI number | 1720277544 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Dicks — Md/Owner · (317) 882-0535 |
| Other names | Central Indiana Medical Group |
| NPI enumerated | October 17, 2007 |
| Last updated in NPPES | June 27, 2008 |
| Mailing address | 1350 E County Line Rd, Suite I, Indianapolis, IN 46227-0873 |
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