Block & Stevenson Oms Pc | |
911 Wall St Suite C Valparaiso IN 46383-2553 | |
(219) 462-9599 | |
(219) 464-0369 |
Full Name | Block & Stevenson Oms Pc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 911 Wall St, Valparaiso, Indiana |
Authorized Official Name and Position | Howard Eric Stevenson (SECRETARY) |
Authorized Official Contact | 2194629599 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Block & Stevenson Oms Pc 911 Wall St Suite C Valparaiso IN 46383-2553 Ph: (219) 462-9599 | Block & Stevenson Oms Pc 911 Wall St Suite C Valparaiso IN 46383-2553 Ph: (219) 462-9599 |
NPI Number | 1932210010 |
---|---|
Provider Enumeration Date | 08/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932210010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12007573A (Indiana) | Primary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12008865A (Indiana) | Secondary |
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