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Organization
INDIANA UNIVERSITY
Active
Organization
INDIANA UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIANNE NICKEL (RESIDENCY COORDINATOR)
(317) 274-4966
Entity
Organization
Contact information
Practice address
19100 CREST AVE, APT 88, CASTRO VALLEY, CA 94546-8661
(818) 464-8207
Mailing address
19100 CREST AVE, APT 88, CASTRO VALLEY, CA 94546-8661
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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