Porter County Endoscopy Center, LLC
NPI #1902994924 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1902994924
- Entity Type
- Organization
- Organization Name
- Porter County Endoscopy Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Nov 25, 2008
Practice Location
- Address
- 2206 ROOSEVELT RD
- Address 2
- SUITE B
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-2749
- Phone
- (219) 548-9990
Authorized Official
- Name
- STEPHEN PAUL, MD
- Title
- ADMINISTRATOR
- Phone
- (219) 934-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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