The Provider Network, LLC
NPI #1033387824 in Carmel, Indiana
Provider Information
- NPI Number
- 1033387824
- Entity Type
- Organization
- Organization Name
- The Provider Network, LLC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Feb 14, 2008
- Last Updated
- Feb 14, 2008
Practice Location
Authorized Official
- Name
- MR. STEWART CLARK
- Title
- PRESIDENT
- Phone
- (317) 507-4280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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