Advanced Internal Medicine Llc

NPI 1124342407 - Clinic/Center - 261QP2300X

NPI Details
NPI 1124342407
Enumeration Date 03/16/2010
Last Updated 11/19/2013
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GREGORY A GREGORY
Position OWNER
Phone (765) 472-3944
Fax (765) 472-3945
Practice Location
302 N DUKE ST
PERU IN, 46970-1520, US
Phone (765) 472-3944
Fax (765) 472-3945
Business Location
302 N DUKE ST
P.O. BOX 368
PERU IN, 46970-1520, US
Phone (765) 472-3944
Fax (765) 472-3945
Toxanomy
Taxonomy Code 261QP2300X
License State Indiana
License Number 01045818
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According to our database, Advanced Internal Medicine Llc NPI is 1124342407, taxonomy code is 261QP2300X and license number is 01045818, license state is located at Indiana. Advanced Internal Medicine Llc physically located at 302 N Duke St, Peru IN, 46970-1520. NPI Number 1033115704 has the healthcare provider type.

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1124342407 NPI number is provided on an as is basis without warranty of any kind. 1124342407 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Internal Medicine Llc are for informational purposes only.