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1922322486
MARK ALLEN STACY
INDIANAPOLIS, IN
NPI
1922322486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IN 11015131A)
Enumeration Date
2010-03-26
Last Update Date
2010-03-26
Business Address
Dr. MARK ALLEN STACY D.O.
3630 GUION RD
INDIANAPOLIS, IN 46222-1616
Phone number: 317-920-7280
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Mailing Address
Dr. MARK ALLEN STACY D.O.
3630 GUION RD
INDIANAPOLIS, IN 46222-1616
Phone number: 317-920-7280
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