| Pendleton Family Practice Center | |
|
75 Village Dr Pendleton IN 46064-8960 | |
| (765) 778-0913 | |
| (765) 778-1374 |
| Full Name | Pendleton Family Practice Center |
|---|---|
| Speciality | Family Medicine |
| Location | 75 Village Dr, Pendleton, Indiana |
| Authorized Official Name and Position | James W Moore (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 7656468105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pendleton Family Practice Center 75 Village Dr Pendleton IN 46064-8960 Ph: (765) 778-0913 | Pendleton Family Practice Center 75 Village Dr Pendleton IN 46064-8960 Ph: (765) 778-0913 |
| NPI Number | 1487760849 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487760849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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