Individual
DR. DWIGHT LOWELL TAPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
53830 GENERATIONS DR, SUITE 110, SOUTH BEND, IN 46635-1557
(574) 472-6766
(574) 472-6774
Mailing address
PO BOX 6309, SOUTH BEND, IN 46660-6309
(574) 472-6700
(574) 472-6746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01022886A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494194
BCBS
IN
05
—
100220000
—
IN
Enumeration date
12/01/2005
Last updated
05/08/2008
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