Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 01076336A | IN |
NPI | 1003253584 |
---|---|
Provider Name | Anthony R. Zabel |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Zionsville, IN 46077-8050 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2013 |
Last Update Date | 30/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201172800 | (05) | IN |