Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ADAM GENTRY DETIG, PA-C
Active Sole ProprietorMR. ADAM GENTRY DETIG, PA-C is a Physician Assistant healthcare provider located in INDIANAPOLIS, Indiana. NPI 1629604939 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1629604939
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2020 (6.3892728886403 yrs)
- Last Updated
- Aug 20, 2024
- License
-
10002938A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3903 IVORY WAYINDIANAPOLIS, IN, 462373433Browse IN providers · Browse ZIP 46237
- Phone
- 8156771075
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| DONALD G MUNSON | PA | 1902898901 |
| ANDREW FREDERICK SHAAR | PA-C | 1659364792 |
| MR. TIMOTHY BARNARD | PA-C | 1427044056 |
| LAURA E BUENING | PA-C | 1972586485 |
| MS. CHRISTINA RACE | PA-C | 1003895400 |
| JILL M ELEFTHERI | PA-C | 1467431643 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.