DENNIS IRVINE MUDD

INDIANAPOLIS, IN
NPI1922541176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2016-11-21
Last Update Date2021-08-09
Business Address
DENNIS IRVINE MUDD PA-C
2130 WOODLAWN AVE
INDIANAPOLIS, IN 46203-1442
Phone number: 708-768-1507
Mailing Address
DENNIS IRVINE MUDD PA-C
2130 WOODLAWN AVE
INDIANAPOLIS, IN 46203-1442
Phone number: 708-768-1507