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DR. MARTHA JANE SHIRLEY D.O,

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1578827275

Individual Registrant:
DR. MARTHA JANE SHIRLEY D.O,
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1011 MAIN ST SUITE 110 SPEEDWAY, IN 46224-6977 US
Tel: 317-957-9050  Fax: 317-957-9952

Contact information for business:
3630 GUION RD  INDIANAPOLIS, IN 46222-1616 US
Tel: 317-920-7280  Fax: 317-920-7284

Registration Information:
NPI: 1578827275
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IN11016762A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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