Mark Pefley | |
1736 Broadway St Anderson IN 46012-2447 | |
(765) 642-3588 | |
(765) 649-1226 |
Full Name | Mark Pefley |
---|---|
Speciality | Clinic/center - Dental |
Location | 1736 Broadway St, Anderson, Indiana |
Authorized Official Name and Position | Beth A Parker (OFFICE MANAGER) |
Authorized Official Contact | 7656423588 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mark Pefley 1736 Broadway St Anderson IN 46012-2447 Ph: (765) 642-3588 | Mark Pefley 1736 Broadway St Anderson IN 46012-2447 Ph: (765) 642-3588 |
NPI Number | 1326500323 |
---|---|
Provider Enumeration Date | 04/01/2019 |
Last Update Date | 04/01/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326500323 | NPI | - | NPPES |
10017297OA | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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