TRACEY ALPHIN

INDIANAPOLIS, IN
NPI1194094375
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10001366A)
Enumeration Date2011-12-19
Last Update Date2014-12-17
Business Address
-- TRACEY ALPHIN PA
1800 N CAPITOL AVE NP E-140
INDIANAPOLIS, IN 46202-1218
Phone number: 317-962-2894
Mailing Address
-- TRACEY ALPHIN PA
250 N SHADELAND AVE STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number: