SearchIndianaSurgical Assistant

Job Dornaivil

NPI 1679211601 · on the registry since 2022

Practice

Address
6130 Tours Ct Apt 105
Indianapolis, IN 46220
Phone
(302) 390-7772

Registry record

Primary taxonomy
Surgical Assistant
246ZC0007X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-20

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