Old Schoolhouse Pediatrics INC

NPI #1720180862 in Bargersville, Indiana

Provider Information

NPI Number: 1720180862
Entity Type: Organization
Organization Name: Old Schoolhouse Pediatrics INC
Primary Specialty: Pediatrics
Enumeration Date: Sep 1, 2006
Last Updated: Apr 8, 2008

Practice Location

Address: 3011 W SMOKEY ROW RD
Address 2: STE. A
City: Bargersville
State: Indiana
ZIP Code: 46106-8803
Phone: (317) 535-0453

Authorized Official

Name: MR. JAMES R. BAURLEY
Title: PRACTICE MANAGER
Phone: (317) 535-0453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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