CHARLES MITCHELL SHOFNER

INDIANAPOLIS, IN
NPI1912563594
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  1912563594)
Additional Taxonomies208000000X Pediatrics
(Licence: IN  1912563594)
390200000X Student in an Organized Health Care Education/Training Program
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-05-19
Last Update Date2025-07-08
Business Address
Mr. CHARLES MITCHELL SHOFNER
1481 W 10TH ST
INDIANAPOLIS, IN 46202-2803
Phone number: 317-554-0000
Mailing Address
Mr. CHARLES MITCHELL SHOFNER
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202-5109
Phone number: 317-948-0003