NPI 1487842860

Longevity Institute of Indiana,p.C.

Organisation Dermatology Physician Indianapolis, IN

Practice location

Address: 10291 N Meridian St Suite 300, Indianapolis, IN 46290-1076
Phone: (317) 574-1677
Fax: (317) 574-1688

Authorised official

Name: Arthur J Sumrall
Title: Owner
Phone: (317) 574-1677

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 01021582A (IN)

Other Dermatology providers in Indiana →

Registry record

NPI: 1487842860
Entity type: Organization
NPI issued: 10 Oct 2007
Record last updated: 3 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.