Privia Medical Group Indiana, LLC
NPI #1013912286 in Elkhart, Indiana
Provider Information
- NPI Number
- 1013912286
- Entity Type
- Organization
- Organization Name
- Privia Medical Group Indiana, LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jun 15, 2005
- Last Updated
- Apr 17, 2025
Practice Location
Authorized Official
- Name
- MR. THOMAS VANDERGRIFT
- Title
- CHIEF EXECUTIVE ADMINISTRATOR
- Phone
- (574) 296-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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