DIAMOND MEDICAL GROUP

LAFAYETTE, IN
NPI1790297935
Entity TypeOrganization
Authorized ContactBENERJI GUDAPATI
Owner
219-448-0369
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2017-10-27
Last Update Date2018-02-14
Business Address
DIAMOND MEDICAL GROUP
830 PARK EAST BLVD
LAFAYETTE, IN 47905-0778
Phone number: 219-448-0369
Mailing Address
DIAMOND MEDICAL GROUP
3679 WAKEFIELD DR
WEST LAFAYETTE, IN 47906-8708
Phone number: 219-448-0369
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