NPI 1700056058

Idella Simmons MD Family Medicine LLC

Organisation Legal Medicine Indianapolis, IN

Practice location

Address: 950 N Alabama St, Indianapolis, IN 46202-3350
Phone: (317) 916-9946
Fax: (317) 916-9979

Authorised official

Name: Idella N Simmons
Title: Owner
Phone: (317) 916-9946

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 01050509A (IN)

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Registry record

NPI: 1700056058
Entity type: Organization
NPI issued: 3 Mar 2008
Record last updated: 11 Jun 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.