JOHN PAUL RICHARD

FORT WAYNE, IN
NPI1598792681
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000373)
Enumeration Date2006-06-26
Last Update Date2022-11-18
Business Address
JOHN PAUL RICHARD PA
11104 PARKVIEW CIRCLE DR STE 330
FORT WAYNE, IN 46845-1674
Phone number: 260-494-3484
Mailing Address
JOHN PAUL RICHARD PA
120 W 22ND ST STE 200
OAK BROOK, IL 60523-1563
Phone number: 630-575-5000
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