St Joseph Primary Care Physicians, LLC

NPI #1417904152 in Peru, Indiana

Provider Information

NPI Number: 1417904152
Entity Type: Organization
Organization Name: St Joseph Primary Care Physicians, LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 28, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1692 W LOGANSPORT RD
City: Peru
State: Indiana
ZIP Code: 46970-3149
Phone: (765) 472-4460

Authorized Official

Name: GREGORY A QUIN, MD
Title: PHYSICIAN
Phone: (765) 472-4460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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