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Individual

NATHAN EPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
275 W 12TH ST STE 112, PERU, IN 46970-1638
(765) 475-2388
(260) 479-2928
Mailing address
2343 W LINCOLN RD, KOKOMO, IN 46902-8012
(765) 455-4090
(765) 455-4091

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02001900
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200152020
IN
Enumeration date
10/26/2006
Last updated
09/14/2020
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