Proactive Mso, LLC
NPI #1366169237 in Monticello, Indiana
Provider Information
- NPI Number
- 1366169237
- Entity Type
- Organization
- Organization Name
- Proactive Mso, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 21, 2022
- Last Updated
- Oct 21, 2022
Practice Location
- Address
- 303 N MAIN ST
- City
- Monticello
- State
- Indiana
- ZIP Code
- 47960-2134
- Phone
- (574) 297-5527
Authorized Official
- Name
- JAN MARIA HOPKINS
- Title
- OPERATIONS MANAGER
- Phone
- (864) 501-0751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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