CODY LEE EBNIT

INDIANAPOLIS, IN
NPI1528771003
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10003986A)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2022-12-29
Last Update Date2024-12-10
Business Address
CODY LEE EBNIT PA-C
1500 N RITTER AVE STE 500
INDIANAPOLIS, IN 46219-3027
Phone number: 317-942-8636
Mailing Address
CODY LEE EBNIT PA-C
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2890
Phone number: