Organization
NORTHEAST REGIONAL FAMILY PRACTICE P.C.
Active
Other names
W David Pepple MD
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER DAVID PEPPLE MD (PRESIDENT)
(260) 422-8770
Entity
Organization
Contact information
Practice address
10327 DAWSONS CREEK BLVD 9 D, WAYNE, IN 46825
(260) 424-8770
(260) 469-8774
Mailing address
10327 DAWSONS CREEK BLVD 9 D, WAYNE, IN 46825
(260) 424-8770
(260) 469-8774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01023389
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100103630D
—
IN
Enumeration date
03/31/2006
Last updated
07/15/2014
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