Prairie Creek Clinic
NPI #1528231388 in Montgomery, Indiana
Provider Information
- NPI Number
- 1528231388
- Entity Type
- Organization
- Organization Name
- Prairie Creek Clinic
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 11, 2008
- Last Updated
- Apr 25, 2008
Practice Location
- Address
- RR 1 BOX 216
- City
- Montgomery
- State
- Indiana
- ZIP Code
- 47558-9733
- Phone
- (812) 687-7263
Authorized Official
- Name
- DR. JOSEPH A CALDERAZZO, MD
- Title
- PHYSICIAN
- Phone
- (812) 687-7263
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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