Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 02005647A | IN |
N | 208600000X | Surgeon | 02005647A | IN |
Y | 2086S0120X | Pediatric Surgery | 02005647A | IN |
NPI | 1538425418 |
---|---|
Provider Name | Barrett Parker Cromeens |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-5109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2012 |
Last Update Date | 09/12/2021 |