Fayette County Physician Orginazation Llc

NPI 1790765147 - Clinic/Center - 261QU0200X

NPI Details
NPI 1790765147
Enumeration Date 01/20/2006
Last Updated 09/22/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SURESH SURESH
Position MANAGING MEMBER
Phone (765) 825-8686
Fax
Practice Location
1475 E STATE ROAD 44
CONNERSVILLE IN, 47331-8292, US
Phone (765) 825-8686
Fax
Business Location
PO BOX 779
CONNERSVILLE IN, 47331-0779, US
Phone (765) 827-1929
Fax
Toxanomy
Taxonomy Code 261QU0200X
License State
License Number
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According to our database, Fayette County Physician Orginazation Llc NPI is 1790765147, taxonomy code is 261QU0200X Fayette County Physician Orginazation Llc physically located at 1475 E State Road 44, Connersville IN, 47331-8292. NPI Number 1033115704 has the healthcare provider type.

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1790765147 NPI number is provided on an as is basis without warranty of any kind. 1790765147 is maintained by the National Plan & Provider Enumeration System. The contents of Fayette County Physician Orginazation Llc are for informational purposes only.