Provider Demographics
NPI:1629239918
Name:ARMINGTON, EVAN R (MD)
Entity Type:Individual
Prefix:MR
First Name:EVAN
Middle Name:R
Last Name:ARMINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1550 E COUNTY LINE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227
Mailing Address - Country:US
Mailing Address - Phone:317-497-6497
Mailing Address - Fax:317-497-6400
Practice Address - Street 1:1550 E COUNTY LINE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227
Practice Address - Country:US
Practice Address - Phone:317-497-6497
Practice Address - Fax:317-497-6400
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-054053207X00000X
MDD75302207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery