Proactive Mso, LLC
NPI #1083250351 in Plymouth, Indiana
Provider Information
- NPI Number
- 1083250351
- Entity Type
- Organization
- Organization Name
- Proactive Mso, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 21, 2019
- Last Updated
- Jun 24, 2025
Practice Location
Authorized Official
- Name
- JODY ADDAIR
- Title
- CLINICAL OPS PROJECT COORDINATOR
- Phone
- (317) 556-0017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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