FAMILY PRACTICE OF JAY COUNTY

PORTLAND, IN
NPI1982749867
Entity TypeOrganization
Authorized ContactMARK ALLEN HAGGENJOS
Managing Physician
260-726-8822
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2007-02-20
Last Update Date2010-09-23
Business Address
FAMILY PRACTICE OF JAY COUNTY
428 WEST VOTAW STREET, STE. A
PORTLAND, IN 47371-0710
Phone number: 260-726-8822
Mailing Address
FAMILY PRACTICE OF JAY COUNTY
PO BOX 710
PORTLAND, IN 47371-0710
Phone number: 260-726-8822