Palmyra Family Medicine | |
691 Main Street Ne Palmyra Family Medicine Palmyra IN 47164-8894 | |
(812) 364-4669 | |
(812) 364-4783 |
Full Name | Palmyra Family Medicine |
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Speciality | Family Medicine |
Location | 691 Main Street Ne, Palmyra, Indiana |
Authorized Official Name and Position | Edward W. Miller (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8129495500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palmyra Family Medicine 3852 Reliable Parkway Palmyra Family Medicine Chicago IL 60686-0038 Ph: (812) 949-5482 | Palmyra Family Medicine 691 Main Street Ne Palmyra Family Medicine Palmyra IN 47164-8894 Ph: (812) 364-4669 |
NPI Number | 1356389498 |
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Provider Enumeration Date | 06/02/2006 |
Last Update Date | 06/26/2012 |
Identifier | Type | State | Issuer |
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1356389498 | NPI | - | NPPES |
200104040A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |