| Pfeifer Internal Medicine, Pc | |
|
136 N Dixon Rd Kokomo IN 46901-4154 | |
| (765) 455-9801 | |
| (765) 455-9840 |
| Full Name | Pfeifer Internal Medicine, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 136 N Dixon Rd, Kokomo, Indiana |
| Authorized Official Name and Position | Diane Marie Pfeifer (PRESIDENT) |
| Authorized Official Contact | 7654559801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pfeifer Internal Medicine, Pc 136 N Dixon Rd Kokomo IN 46901-4154 Ph: (765) 455-9801 | Pfeifer Internal Medicine, Pc 136 N Dixon Rd Kokomo IN 46901-4154 Ph: (765) 455-9801 |
| NPI Number | 1689098022 |
|---|---|
| Provider Enumeration Date | 02/05/2014 |
| Last Update Date | 02/06/2014 |
| Medicare PECOS PAC ID | 3870722127 |
|---|---|
| Medicare Enrollment ID | O20140206001547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689098022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1050142 (Indiana) | Primary |
| Provider Name | Diane M Pfeifer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730183450 PECOS PAC ID: 0446287379 Enrollment ID: I20100624000064 |
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