Organization Name: | UNIVERSITY FAMILY PHYSICIANS INC |
NPI Number: | 1003073321 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS MCKEAG (CHAIR) |
Mailing Address: | 1520 N Senate Ave Indianapolis |
State: | IN US |
Postal Code: | 462022213 |
Phone Number: | 3179625447 |
Fax Number: | 3179625479 |
NPI Enumeration Date: | 05/22/2008 |
NPI Last Update Date: | 05/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 01051762 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |