| Organization Name: | ROBERT M PAGE DDA MS PC |
| NPI Number: | 1114336690 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT M PAGE (PRESIDENT) |
| Mailing Address: | 110 Lakeview Dr Noblesville |
| State: | IN US |
| Postal Code: | 460601324 |
| Phone Number: | 3177730016 |
| Fax Number: | |
| NPI Enumeration Date: | 08/08/2014 |
| NPI Last Update Date: | 08/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 12007050A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |