Provider Demographics
NPI:1578770863
Name:PROPST, NEIL DAVID (DO)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:DAVID
Last Name:PROPST
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:10896 MUDDY RIVER RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46234-3713
Mailing Address - Country:US
Mailing Address - Phone:317-347-0717
Mailing Address - Fax:317-347-0717
Practice Address - Street 1:730 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-3963
Practice Address - Country:US
Practice Address - Phone:317-266-0882
Practice Address - Fax:317-266-0898
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN02002052A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
INHO5239Medicare UPIN