Inis Jane Bardella M.D.

NPI 1124084926 - Family Medicine - 207Q00000X

NPI Details
NPI 1124084926
Gender Female
Enumeration Date 04/21/2006
Last Updated 12/08/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1221 E STATE ST
ROCKFORD IL, 61104-2231, US
Phone (815) 972-1000
Fax (815) 972-1086
Business Location
1601 PARKVIEW AVE
ROCKFORD IL, 61107-1822, US
Phone (815) 395-5804
Fax (303) 724-9746
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 01059572A
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According to our database, Inis Jane Bardella M.D. NPI is 1124084926, taxonomy code is 207Q00000X and license number is 01059572A, license state is located at Indiana. Inis Jane Bardella M.D. physically located at 1221 E State St, Rockford IL, 61104-2231. NPI Number Inis Jane Bardella M.D. has the Individual type.

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1124084926 NPI number is provided on an as is basis without warranty of any kind. 1124084926 is maintained by the National Plan & Provider Enumeration System. The contents of Inis Jane Bardella M.D. are for informational purposes only.