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11999 Casino Center Dr Se Elizabeth IN 47117-7753 | |
(812) 969-6751 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 11999 Casino Center Dr Se, Elizabeth, Indiana |
Authorized Official Name and Position | Michael Slice (VICE PRESIDENT) |
Authorized Official Contact | 6232772531 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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25500 N Norterra Dr Phoenix AZ 85085-8200 Ph: (877) 733-1710 | 11999 Casino Center Dr Se Elizabeth IN 47117-7753 Ph: (812) 969-6751 |
NPI Number | 1427323781 |
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Provider Enumeration Date | 03/19/2012 |
Last Update Date | 03/19/2012 |
Identifier | Type | State | Issuer |
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1427323781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |