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1053383083
DALE E. THEOBALD
INDIANAPOLIS, IN
NPI
1053383083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0802X Psychiatry & Neurology, Addiction Psychiatry
(Licence: IN 200110234A)
Enumeration Date
2006-02-03
Last Update Date
2023-11-27
Business Address
DALE E. THEOBALD M.D., Ph.D.
7229 CLEARVISTA DR
INDIANAPOLIS, IN 46256-1698
Phone number: 317-621-4341
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Mailing Address
DALE E. THEOBALD M.D., Ph.D.
6626 E 75TH ST SUITE 500
INDIANAPOLIS, IN 46250-2805
Phone number:
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