Provider Demographics
NPI:1811030885
Name:DARGIS, MARILYN J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:J
Last Name:DARGIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8780 PURDUE RD
Mailing Address - Street 2:SUITE # 7
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-6129
Mailing Address - Country:US
Mailing Address - Phone:317-471-8701
Mailing Address - Fax:317-471-8702
Practice Address - Street 1:8780 PURDUE RD
Practice Address - Street 2:SUITE # 7
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-6129
Practice Address - Country:US
Practice Address - Phone:317-471-8701
Practice Address - Fax:317-471-8702
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2012-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01030905A146D00000X
IN010100905A207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant