Provider Demographics
NPI:1922199660
Name:THURSTON, VIRGINIA C (PHD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:C
Last Name:THURSTON
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Gender:F
Credentials:PHD
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Mailing Address - Street 1:975 W WALNUT ST
Mailing Address - Street 2:IB 264
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5181
Mailing Address - Country:US
Mailing Address - Phone:317-274-5749
Mailing Address - Fax:317-278-1616
Practice Address - Street 1:975 W WALNUT ST
Practice Address - Street 2:IB 264
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5181
Practice Address - Country:US
Practice Address - Phone:317-274-5749
Practice Address - Fax:317-278-1616
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics