| Premier Village Physicians, Llc | |
|
12680 Longleaf Ln Fishers IN 46038-9188 | |
| (317) 777-0628 | |
| (317) 342-3117 |
| Full Name | Premier Village Physicians, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12680 Longleaf Ln, Fishers, Indiana |
| Authorized Official Name and Position | Tyler Vernon (OWNER, CEO, PHYSICIAN) |
| Authorized Official Contact | 3177770628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Village Physicians, Llc 12680 Longleaf Ln Fishers IN 46038-9188 Ph: (317) 777-0628 | Premier Village Physicians, Llc 12680 Longleaf Ln Fishers IN 46038-9188 Ph: (317) 777-0628 |
| NPI Number | 1134052053 |
|---|---|
| Provider Enumeration Date | 06/08/2026 |
| Last Update Date | 06/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134052053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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