Provider Demographics
NPI:1053809798
Name:GALINDO, AUTUMN (MD)
Entity type:Individual
Prefix:
First Name:AUTUMN
Middle Name:
Last Name:GALINDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1100 REID PKWY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1157
Mailing Address - Country:US
Mailing Address - Phone:765-478-6108
Mailing Address - Fax:765-478-1243
Practice Address - Street 1:1154 S STATE ROAD 1 STE 1
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE CITY
Practice Address - State:IN
Practice Address - Zip Code:47327-9513
Practice Address - Country:US
Practice Address - Phone:765-478-6108
Practice Address - Fax:765-478-1243
Is Sole Proprietor?:No
Enumeration Date:2018-04-27
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01086027A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine