Organization
PHYSICAL MEDICINE & REHABILITATION OF EAST CENTRAL INDIANA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT B. TAYLOR M.D. (OWNER/PRESIDENT)
(765) 213-3025
Entity
Organization
Contact information
Practice address
1107 S TILLOTSON AVE, SUITE 1, MUNCIE, IN 47304-4517
(765) 213-3025
(765) 282-9303
Mailing address
1107 S TILLOTSON AVE, SUITE 1, MUNCIE, IN 47304-4517
(765) 213-3025
(765) 282-9303
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200167340
—
IN
Enumeration date
06/12/2006
Last updated
06/16/2014
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