Organization
CARDINAL HEALTH PARTNERS, LLC
Active
Other names
PrimeTime Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
JAN VANGETS (COO PHYSICIAN NETWORK SERVICES)
(765) 730-5109
Entity
Organization
Contact information
Practice address
205 N TILLOTSON AVE, SUITE 201B, MUNCIE, IN 47304-3900
(765) 281-4599
(765) 751-2335
Mailing address
205 N TILLOTSON AVE, SUITE 201B, MUNCIE, IN 47304-3900
(765) 281-4599
(765) 751-2335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200227660A
—
IN
Enumeration date
07/12/2006
Last updated
06/18/2008
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