ADVANCED FERTILITY GROUP P.C. NPI 1710108816

NPI Information

ADVANCED FERTILITY GROUP P.C. is a specialist in Indianapolis, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ADVANCED FERTILITY GROUP P.C. NPI is 1710108816. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

201 PENNSYLVANIA PKWY
SUITE 205
INDIANAPOLIS, IN
ZIP 46280-301
Phone: (317) 817-1300

The provider's authorized official is William Lee Gentry .
The authorized official title is Owner and has the following contact phone number (317) 817-1300.

The CLIA number assigned to this NPI record is 15D2060793 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/2/2007 and was last updated on 8/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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