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Organization
NEPHROLOGY PHYSICIANS LLC
Active
Organization
NEPHROLOGY PHYSICIANS LLC
Active
Other names
Azura Surgery Center Michiana Vascular
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L. PORILE MD (AUTHORIZED OFFICIAL)
(574) 273-6787
Entity
Organization
Contact information
Practice address
250 E DAY RD STE 300, MISHAWAKA, IN 46545-3471
(574) 273-6787
(574) 566-1291
Mailing address
200 N WARNER RD STE 205, KING OF PRUSSIA, PA 19406-2841
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/20/2017
Last updated
03/23/2026
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