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Organization
BLUFFTON PHYSICIAN SERVICES LLC
Active
Organization
BLUFFTON PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MUSIC (DIRECTOR/PROVIDER ENROLLMENT)
(615) 465-7377
Entity
Organization
Contact information
Practice address
1026 S MAIN ST, BLUFFTON, IN 46714-3614
(260) 919-3880
(260) 919-3882
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7000
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200813890
—
IN
Enumeration date
06/13/2006
Last updated
03/14/2024
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