Foundations Family Medicine Pc

NPI 1720097322 - Clinic/Center - 261QM1300X

NPI Details
NPI 1720097322
Enumeration Date 08/05/2006
Last Updated 07/01/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM E WILLIAM
Position DIRECTOR/OFFICER
Phone (812) 794-8100
Fax (812) 794-8200
Practice Location
25 W MAIN ST
AUSTIN IN, 47102-1303, US
Phone (812) 794-8100
Fax (812) 794-8200
Business Location
25 W MAIN ST
AUSTIN IN, 47102-1303, US
Phone (812) 794-8100
Fax (812) 794-8200
Toxanomy
Taxonomy Code 261QM1300X
License State Indiana
License Number 01056407A
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According to our database, Foundations Family Medicine Pc NPI is 1720097322, taxonomy code is 261QM1300X and license number is 01056407A, license state is located at Indiana. Foundations Family Medicine Pc physically located at 25 W Main St, Austin IN, 47102-1303. NPI Number 1033115704 has the healthcare provider type.

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1720097322 NPI number is provided on an as is basis without warranty of any kind. 1720097322 is maintained by the National Plan & Provider Enumeration System. The contents of Foundations Family Medicine Pc are for informational purposes only.