Provider Demographics
NPI:1154814077
Name:TOBACK, ALISON LEIGH (DO)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:LEIGH
Last Name:TOBACK
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Gender:F
Credentials:DO
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Mailing Address - Street 1:705 RILEY HOSPITAL DRIVE
Mailing Address - Street 2:RI 5837
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5109
Mailing Address - Country:US
Mailing Address - Phone:317-278-6400
Mailing Address - Fax:317-944-1476
Practice Address - Street 1:705 RILEY HOSPITAL DRIVE
Practice Address - Street 2:RI 5837
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5109
Practice Address - Country:US
Practice Address - Phone:317-278-6400
Practice Address - Fax:317-944-1476
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2021-07-08
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Provider Licenses
StateLicense IDTaxonomies
IN02006460A2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology