ADAM GENTRY DETIG

INDIANAPOLIS, IN
NPI1629604939
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002938A)
Enumeration Date2020-03-18
Last Update Date2024-08-20
Business Address
Mr. ADAM GENTRY DETIG PA-C
3903 IVORY WAY
INDIANAPOLIS, IN 46237-3433
Phone number: 815-677-1075
Mailing Address
Mr. ADAM GENTRY DETIG PA-C
3903 IVORY WAY
INDIANAPOLIS, IN 46237-3433
Phone number: 815-677-1075
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