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1900 Mckinley Ave # 50060 Columbus IN 47201-6414 | |
(812) 377-4782 | |
(812) 721-0283 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1900 Mckinley Ave # 50060, Columbus, Indiana |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | 1900 Mckinley Ave # 50060 Columbus IN 47201-6414 Ph: (812) 377-4782 |
NPI Number | 1417603879 |
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Provider Enumeration Date | 02/24/2022 |
Last Update Date | 08/25/2022 |
Identifier | Type | State | Issuer |
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1417603879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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