L.b. Tubergen, Md, Llc

NPI 1093839664 - Otolaryngology - 207YX0901X

NPI Details
NPI 1093839664
Enumeration Date 03/19/2007
Last Updated 07/16/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name L B L
Position PRESIDENT
Phone (317) 243-2888
Fax
Practice Location
5620 CRAWFORDSVILLE RD STE K
INDIANAPOLIS IN, 46224-3726, US
Phone (317) 243-2888
Fax
Business Location
6534 BERGESON CT
INDIANAPOLIS IN, 46278-2226, US
Phone
Fax
Toxanomy
Taxonomy Code 207YX0901X
License State Indiana
License Number 01025706
Remove 1093839664 NPI Number
 

According to our database, L.b. Tubergen, Md, Llc NPI is 1093839664, taxonomy code is 207YX0901X and license number is 01025706, license state is located at Indiana. L.b. Tubergen, Md, Llc physically located at 5620 Crawfordsville Rd Ste K, Indianapolis IN, 46224-3726. NPI Number 1033115704 has the healthcare provider type.

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1093839664 NPI number is provided on an as is basis without warranty of any kind. 1093839664 is maintained by the National Plan & Provider Enumeration System. The contents of L.b. Tubergen, Md, Llc are for informational purposes only.