Organization
INDIANA PHYSICIANS SERVICES, LLC
Active
Parent organization
VAXCARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAXCARE CORPORATION
Authorized official
CASEY DELOACH (PRESIDENT)
(888) 829-8550
Entity
Organization
Contact information
Practice address
130 HUNTER STATION WAY, SUITE 202, SELLERSBURG, IN 47172-8930
(888) 829-8550
(888) 843-7191
Mailing address
3113 LAWTON RD STE 250, ORLANDO, FL 32803-3517
(888) 829-8550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
04/27/2021
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