Admiral Medical Supply, INC

NPI #1154665750 in Indianapolis, Indiana

Provider Information

NPI Number
1154665750
Entity Type
Organization
Organization Name
Admiral Medical Supply, INC
Subpart
Yes (part of a larger organization)
Parent Organization
ADMIRAL MEDICAL GROUP
Primary Specialty
Nurse Practitioner
Enumeration Date
Nov 20, 2012
Last Updated
Mar 7, 2013

Practice Location

Address
8888 KEYSTONE XING
Address 2
SUITE 1300
State
Indiana
ZIP Code
46240-4609
Phone
(317) 296-7730

Authorized Official

Name
MR. RASHARD GRAVES
Title
PRESIDENT
Phone
(317) 296-7730

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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