NICHOLAS STEPHEN IANNAZZO

INDIANAPOLIS, IN
NPI1043669633
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine Pulmonary Disease
(Licence: IN  02005669A)
Additional Taxonomies207RC0200X Internal Medicine Critical Care Medicine
(Licence: IN  02005669A)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IN  11018796A)
207R00000X Internal Medicine
(Licence: IN  02005669A)
Enumeration Date2016-06-06
Last Update Date2024-06-06
Business Address
NICHOLAS STEPHEN IANNAZZO DO
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202-1239
Phone number: 317-962-5820
Mailing Address
NICHOLAS STEPHEN IANNAZZO DO
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: