| Midwest Child And Adolescent Specialty Group, P.c. | |
|
1310 E Davis Dr Terre Haute IN 47802-4034 | |
| (812) 232-7337 | |
| (812) 232-7338 |
| Full Name | Midwest Child And Adolescent Specialty Group, P.c. |
|---|---|
| Speciality | Pediatrics |
| Location | 1310 E Davis Dr, Terre Haute, Indiana |
| Authorized Official Name and Position | Pablito S. Dela Cruz (OWNER) |
| Authorized Official Contact | 8122327337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Child And Adolescent Specialty Group, P.c. 1310 E Davis Dr Terre Haute IN 47802-4034 Ph: (812) 232-7337 | Midwest Child And Adolescent Specialty Group, P.c. 1310 E Davis Dr Terre Haute IN 47802-4034 Ph: (812) 232-7337 |
| NPI Number | 1588605349 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 12/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588605349 | NPI | - | NPPES |
| 200506860A | Medicaid | IN |
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