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1518726264
PHYSICIAN PROVIDER SERVICES LLC
BLUE ASH, OH
NPI
1518726264
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Entity Type
Organization
Authorized Contact
ANDRE CREESE
CEO
317-672-8600
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2024-03-15
Last Update Date
2024-06-06
Business Address
PHYSICIAN PROVIDER SERVICES LLC
11690 GROOMS RD
BLUE ASH, OH 45242-1412
Phone number: 800-526-6797
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Mailing Address
PHYSICIAN PROVIDER SERVICES LLC
1 INDIANA SQ STE 2060
INDIANAPOLIS, IN 46204-2020
Phone number:
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