Associated Pediatricians, LLC

NPI #1952469538 in Portage, Indiana

Provider Information

NPI Number: 1952469538
Entity Type: Organization
Organization Name: Associated Pediatricians, LLC
Primary Specialty: Specialist
Enumeration Date: Dec 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3630 WILLOWCREEK RD
Address 2: SUITE 6
City: Portage
State: Indiana
ZIP Code: 46368-5075
Phone: (219) 531-7492

Authorized Official

Name: MRS. JILL ANN WALKER
Title: MEDICAID TRICARE SERVICES MANAGER
Phone: (219) 531-7492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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