| Practice Services Of Indiana Pc | |
|
6401 E Washington St Indianapolis IN 46219-6614 | |
| (312) 733-9730 | |
| (312) 866-8014 |
| Full Name | Practice Services Of Indiana Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6401 E Washington St, Indianapolis, Indiana |
| Authorized Official Name and Position | Griffin Myers (PRESIDENT/CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 3126008484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Practice Services Of Indiana Pc 213 N Racine Ave 100 Chicago IL 60607-1644 Ph: (312) 733-9730 | Practice Services Of Indiana Pc 6401 E Washington St Indianapolis IN 46219-6614 Ph: (312) 733-9730 |
| NPI Number | 1215383021 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 05/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215383021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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