| |
4500 Dan Patch Cir Anderson IN 46013-3161 | |
(765) 609-4711 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 4500 Dan Patch Cir, Anderson, Indiana |
Authorized Official Name and Position | Jeffery L Kirkham (CFO) |
Authorized Official Contact | 3173555822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1500 N Ritter Ave Indianapolis IN 46219-3027 Ph: () - | 4500 Dan Patch Cir Anderson IN 46013-3161 Ph: (765) 609-4711 |
NPI Number | 1457743361 |
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Provider Enumeration Date | 03/02/2015 |
Last Update Date | 03/02/2015 |
Identifier | Type | State | Issuer |
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1457743361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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