| Endeavor Comprehensive Care Llc | |
|
13655 Smokey Ridge Pl Carmel IN 46033-9265 | |
| (317) 827-2987 | |
| (317) 219-0879 |
| Full Name | Endeavor Comprehensive Care Llc |
|---|---|
| Speciality | General Practice |
| Location | 13655 Smokey Ridge Pl, Carmel, Indiana |
| Authorized Official Name and Position | Nicole Davis (CEO/OWNER) |
| Authorized Official Contact | 3178272987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endeavor Comprehensive Care Llc Po Box 6033 Fishers IN 46038-6033 Ph: (317) 827-2987 | Endeavor Comprehensive Care Llc 13655 Smokey Ridge Pl Carmel IN 46033-9265 Ph: (317) 827-2987 |
| NPI Number | 1518675917 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 01/18/2023 |
| Medicare PECOS PAC ID | 9537539416 |
|---|---|
| Medicare Enrollment ID | O20230111000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518675917 | NPI | - | NPPES |
| Provider Name | Robert Scott Potter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346334562 PECOS PAC ID: 1850426784 Enrollment ID: I20100317000919 |
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