Premier Pediatrics of Indiana LLC

NPI #1760084156 in Granger, Indiana

Provider Information

NPI Number
1760084156
Entity Type
Organization
Organization Name
Premier Pediatrics of Indiana LLC
Primary Specialty
Pediatrics
Enumeration Date
Nov 11, 2020
Last Updated
Jul 20, 2021

Practice Location

Address
229 FLORENCE AVE STE 233
State
Indiana
ZIP Code
46530-8048
Phone
(574) 855-4575

Authorized Official

Name
CHARISSE JOHNSON, MD
Title
SOLE PROPRIETOR
Phone
(317) 345-3142

Specialties & Taxonomy Codes

Specialty
Pediatrics

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