| Clinical Innovations, Llc | |
|
1482 Southside Dr Columbus IN 47201-2738 | |
| (812) 371-4292 | |
| Not Available |
| Full Name | Clinical Innovations, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1482 Southside Dr, Columbus, Indiana |
| Authorized Official Name and Position | Larry Dust (CEO) |
| Authorized Official Contact | 3172847700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Innovations, Llc 1482 Southside Dr Columbus IN 47201-2738 Ph: (812) 371-4292 | Clinical Innovations, Llc 1482 Southside Dr Columbus IN 47201-2738 Ph: (812) 371-4292 |
| NPI Number | 1942953799 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942953799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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