Provider Demographics
NPI:1922009786
Name:AULL, EDWARD B (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:B
Last Name:AULL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:13430 N MERIDIAN ST #365
Mailing Address - Street 2:SUITE 365
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032
Mailing Address - Country:US
Mailing Address - Phone:317-582-7654
Mailing Address - Fax:317-582-7660
Practice Address - Street 1:13430 N MERIDIAN ST #365
Practice Address - Street 2:SUITE 365
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032
Practice Address - Country:US
Practice Address - Phone:317-582-7654
Practice Address - Fax:317-582-7660
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2020-03-23
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Provider Licenses
StateLicense IDTaxonomies
IN010226672080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics