360 Integrated Medical Center, PC
NPI #1710459458 in La Porte, Indiana
Provider Information
- NPI Number
- 1710459458
- Entity Type
- Organization
- Organization Name
- 360 Integrated Medical Center, PC
- Primary Specialty
- General Practice
- Enumeration Date
- Dec 19, 2018
- Last Updated
- Dec 19, 2018
Practice Location
Authorized Official
- Name
- MATTHEW KIRKHAM
- Title
- OWNER
- Phone
- (219) 326-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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