# ESGUERRA MEDICAL PRACTICE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720256068
- **Authorized official:** PAUL R ESGUERRA MD (OWNER)
- **Authorized official phone:** (812) 847-8711

## Contact information

- **Practice address:** 2125 E STATE HIGHWAY 54, LINTON, IN 47441-9407
- **Practice address phone:** (812) 847-8711
- **Practice address fax:** (812) 847-8793
- **Mailing address:** 2125 E STATE HIGHWAY 54, LINTON, IN 47441-9407
- **Mailing address phone:** (812) 847-8711
- **Mailing address fax:** (812) 847-8793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01039089 | IN | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | 01039089 | IN | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | 01039089 | IN | — |
| 207QA0505X | Adult Medicine Physician | 01039089 | IN | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | 01039089 | IN | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 01039089 | IN | — |

## Other

- **Enumeration date:** 02/20/2008
- **Last updated:** 12/29/2020