Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 01062246A | IN |
NPI | 1578758975 |
---|---|
Provider Name | Tonya J Hole |
First Address | Indianapolis, IN 46260-1902 |
Second Address | Indianapolis, IN 46260-1902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2007 |
Last Update Date | 02/11/2011 |