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1033266820
CHARLES PHILLIP BLAIR VANDERPOOL
INDIANAPOLIS, IN
NPI
1033266820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0206X Pediatrics Pediatric Gastroenterology
(Licence: IN 01069261A)
Enumeration Date
2007-01-04
Last Update Date
2020-11-23
Business Address
CHARLES PHILLIP BLAIR VANDERPOOL MD
705 RILEY HOSPITAL DR ROC 4210
INDIANAPOLIS, IN 46202-5109
Phone number: 317-944-3774
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Mailing Address
CHARLES PHILLIP BLAIR VANDERPOOL MD
PO BOX 1026
INDIANAPOLIS, IN 46206-1026
Phone number: 317-274-1201
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