Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Adam Gentry Detig, PA-C

Individual provider Physician Assistant · NPI 1629604939

Mr. Adam Gentry Detig, PA-C is a Physician Assistant in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3903 Ivory Way
Indianapolis, IN 46237-3433
Phone: (815) 677-1075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10002938A (IN)

Record details

NPI number1629604939
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 18, 2020
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

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