RICHARD S WITHAM

INDIANAPOLIS, IN
NPI1417926114
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IN  01024020A)
Enumeration Date2006-03-15
Last Update Date2014-03-12
Business Address
-- RICHARD S WITHAM MD
545 BARNHILL DR EH 500
INDIANAPOLIS, IN 46202-5112
Phone number: 317-274-3086
Mailing Address
-- RICHARD S WITHAM MD
250 N SHADELAND AVE STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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