DANIEL ALFRED SIDHOM

INDIANAPOLIS, IN
NPI1134782402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: IN  02007767A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-22
Last Update Date2025-03-11
Business Address
DANIEL ALFRED SIDHOM DO
535 BARNHILL DR STE 340
INDIANAPOLIS, IN 46202-5116
Phone number: 317-944-7451
Mailing Address
DANIEL ALFRED SIDHOM DO
535 BARNHILL DRIVE RT 150
INDIANAPOLIS, IN 46202
Phone number:
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