SearchIndiana111N00000X

David Fenderson

NPI 1013638048 · on the registry since 2022

Practice

Address
1460 W 86th St
Indianapolis, IN 46260
Phone
(317) 679-1858
Clinicians at this address
2

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana