| Medpeds, Llc | |
|
3524 N 1st Ave Evansville IN 47710-3320 | |
| (812) 425-0300 | |
| (812) 428-8400 |
| Full Name | Medpeds, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3524 N 1st Ave, Evansville, Indiana |
| Authorized Official Name and Position | James E Jenison (OWNER AND PARTNER) |
| Authorized Official Contact | 8124250300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medpeds, Llc 3524 N 1st Ave Evansville IN 47710-3320 Ph: (812) 425-0300 | Medpeds, Llc 3524 N 1st Ave Evansville IN 47710-3320 Ph: (812) 425-0300 |
| NPI Number | 1326193475 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326193475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01035567 (Indiana) | Primary |
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