| Vpa Pc Specialty Int In | |
|
5838 W Brick Rd Ste 106 South Bend IN 46628-8420 | |
| (574) 247-1911 | |
| (574) 247-1912 |
| Full Name | Vpa Pc Specialty Int In |
|---|---|
| Speciality | Family Medicine |
| Location | 5838 W Brick Rd Ste 106, South Bend, Indiana |
| Authorized Official Name and Position | Jeffrey Stevens (OWNER) |
| Authorized Official Contact | 2488246600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vpa Pc Specialty Int In Po Box 639295 Dept 93394 Cincinnati OH 45263-9295 Ph: (248) 434-6169 | Vpa Pc Specialty Int In 5838 W Brick Rd Ste 106 South Bend IN 46628-8420 Ph: (574) 247-1911 |
| NPI Number | 1720605884 |
|---|---|
| Provider Enumeration Date | 07/06/2020 |
| Last Update Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720605884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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