Organization
PROACTIVE - MASE MONTICELLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LOWE (FIANCE MANAGER)
(949) 356-6706
Entity
Organization
Contact information
Practice address
303 N MAIN ST, MONTICELLO, IN 47960-2134
(812) 645-1892
Mailing address
303 N MAIN ST, MONTICELLO, IN 47960-2134
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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