| Purdue University | |
|
509 North Street Lafayette IN 47901 | |
| (765) 742-8589 | |
| Not Available |
| Full Name | Purdue University |
|---|---|
| Speciality | Clinic/center |
| Location | 509 North Street, Lafayette, Indiana |
| Authorized Official Name and Position | Joan M Vaughan (DIRECTOR HIPAA PRIVACY COMPLIANCE) |
| Authorized Official Contact | 7654961927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purdue University 601 Stadium Mall Dr West Lafayette IN 47907-2052 Ph: (765) 496-1927 | Purdue University 509 North Street Lafayette IN 47901 Ph: (765) 742-8589 |
| NPI Number | 1780885731 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780885731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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