Calvary Assembly of God
NPI #1306453626 in Demotte, Indiana
Provider Information
- NPI Number
- 1306453626
- Entity Type
- Organization
- Organization Name
- Calvary Assembly of God
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 30, 2020
- Last Updated
- Feb 26, 2021
Practice Location
Authorized Official
- Name
- JAMES CLARK
- Title
- PRESIDENT
- Phone
- (219) 987-4280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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