Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 01030717 | IN |
NPI | 1285716407 |
---|---|
Provider Name | Dr. Amy Suzon Chappell |
First Address | Indianapolis, IN 46250-1629 |
Second Address | Indianapolis, IN 46250-1629 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 08/07/2007 |