Organization
CLARKSON MEDICAL BUILDING CONVENIENT CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY METZE FNP-C (NURSE PRACTICIONER)
(765) 935-1905
Entity
Organization
Contact information
Practice address
1350 CHESTER BLVD, RICHMOND, IN 47374-1907
(765) 935-1905
(765) 935-1910
Mailing address
1350 CHESTER BLVD, RICHMOND, IN 47374-1907
(765) 935-1905
(765) 935-1910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032761A
IN
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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