Aixsa Perez M D P C

NPI 1134414329 - Family Medicine - 207Q00000X

NPI Details
NPI 1134414329
Enumeration Date 06/15/2011
Last Updated 06/15/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name AIXSA AIXSA
Position OWNER
Phone (574) 675-9630
Fax
Practice Location
1712 LINCOLNWAY W
SUITE A
OSCEOLA IN, 46561-1933, US
Phone (574) 675-9630
Fax
Business Location
1712 LINCOLNWAY W
SUITE A
OSCEOLA IN, 46561-1933, US
Phone (574) 675-9630
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 01049434A
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According to our database, Aixsa Perez M D P C NPI is 1134414329, taxonomy code is 207Q00000X and license number is 01049434A, license state is located at Indiana. Aixsa Perez M D P C physically located at 1712 Lincolnway W, Osceola IN, 46561-1933. NPI Number 1033115704 has the healthcare provider type.

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1134414329 NPI number is provided on an as is basis without warranty of any kind. 1134414329 is maintained by the National Plan & Provider Enumeration System. The contents of Aixsa Perez M D P C are for informational purposes only.