Ailanto, LLC

NPI #1013150762 in Indianapolis, Indiana

Provider Information

NPI Number
1013150762
Entity Type
Organization
Organization Name
Ailanto, LLC
Primary Specialty
Specialist
Enumeration Date
Apr 10, 2009
Last Updated
Apr 10, 2009

Practice Location

Address
3003 E 98TH ST
Address 2
SUITE 261
State
Indiana
ZIP Code
46280-1998
Phone
(866) 315-2787

Authorized Official

Name
ROGER SPAHR, M.D.
Title
DIRECTOR
Phone
(866) 315-2787

Specialties & Taxonomy Codes

Specialty
Specialist

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