Centerwell Senior Primary Care in PC

NPI #1053011163 in Indianapolis, Indiana

Provider Information

NPI Number: 1053011163
Entity Type: Organization
Organization Name: Centerwell Senior Primary Care in PC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTERWELL SENIOR PRIMARY CARE IN PC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 7, 2023
Last Updated: Jul 1, 2024

Practice Location

Address: 5115 W WASHINGTON ST
City: Indianapolis
State: Indiana
ZIP Code: 46241-2205
Phone: (317) 799-1268

Authorized Official

Name: ANGIE MARTINEZ
Title: SENIOR CREDENTIALING PROFESSIONAL
Phone: (407) 447-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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