PREMIER PEDIATRICS OF INDIANA LLC

GRANGER, IN
NPI1760084156
Entity TypeOrganization
Authorized ContactCHARISSE JOHNSON
Sole Proprietor
317-345-3142
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2020-11-11
Last Update Date2021-07-20
Business Address
PREMIER PEDIATRICS OF INDIANA LLC
229 FLORENCE AVE STE 233
GRANGER, IN 46530-8048
Phone number: 574-855-4575
Mailing Address
PREMIER PEDIATRICS OF INDIANA LLC
229 FLORENCE AVE STE 233
GRANGER, IN 46530-8048
Phone number: 574-855-4575
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