Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 02006460A | IN |
NPI | 1154814077 |
---|---|
Provider Name | Dr. Alison Leigh Toback |
First Address | Indianapolis, IN 46202-5109 |
Second Address | Indianapolis, IN 46202-5109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2018 |
Last Update Date | 08/07/2021 |