Physician Practice Organization

NPI #1407861164 in Columbus, Indiana

Provider Information

NPI Number: 1407861164
Entity Type: Organization
Organization Name: Physician Practice Organization
Primary Specialty: Family Medicine
Enumeration Date: Jul 30, 2006
Last Updated: Jan 27, 2014

Practice Location

Address: 3203 MIDDLE DR
City: Columbus
State: Indiana
ZIP Code: 47203-4427
Phone: (812) 373-2701

Authorized Official

Name: DR. DAVID J PORTER, MD
Title: MEDICAL DIRECTOR
Phone: (812) 373-2701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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