Organization
PREMIER WEIGHT LOSS OF INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW PRIDDY DO (PRESIDENT)
(317) 523-7121
Entity
Organization
Contact information
Practice address
8902 N MERIDIAN ST STE 100, INDIANAPOLIS, IN 46260-5306
(317) 643-4444
Mailing address
8902 N MERIDIAN ST STE 100, INDIANAPOLIS, IN 46260-5306
(317) 643-4444
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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