Medical Associates Of Grant County, P.c. | |
610 N River Dr Marion IN 46952-2649 | |
(765) 662-9870 | |
(765) 662-9907 |
Full Name | Medical Associates Of Grant County, P.c. |
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Speciality | Internal Medicine |
Location | 610 N River Dr, Marion, Indiana |
Authorized Official Name and Position | Daniel Tupas Barrido (PRESIDENT) |
Authorized Official Contact | 7656629870 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Associates Of Grant County, P.c. 610 N River Dr Marion IN 46952-2649 Ph: (765) 662-9870 | Medical Associates Of Grant County, P.c. 610 N River Dr Marion IN 46952-2649 Ph: (765) 662-9870 |
NPI Number | 1437236148 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 11/10/2015 |
Medicare PECOS PAC ID | 1456456979 |
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Medicare Enrollment ID | O20070411000497 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437236148 | NPI | - | NPPES |
200207310 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 50003969A (Indiana) | Primary |
Provider Name | Maribel G Barrido |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1346257888 PECOS PAC ID: 1052351871 Enrollment ID: I20100910000502 |
Provider Name | Daniel T Barrido |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1154338564 PECOS PAC ID: 4688614407 Enrollment ID: I20110401000438 |
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