ALEXX PUCKETT

GARY, IN
NPI1588164123
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002427A)
Enumeration Date2018-02-20
Last Update Date2019-08-16
Business Address
ALEXX PUCKETT
600 GRANT ST
GARY, IN 46402-6001
Phone number: 219-886-4000
Mailing Address
ALEXX PUCKETT
6653 CRESTWELL LN
INDIANAPOLIS, IN 46268-4885
Phone number: