Organization
LA PORTE REGIONAL PHYSICIAN NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA VOLK (EXECUTIVE DIRECTOR)
(219) 326-2485
Entity
Organization
Contact information
Practice address
2000 ROOSEVELT RD, SUITE 202, VALPARAISO, IN 46383-2800
(219) 531-8908
(219) 548-0108
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2489
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01033345
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165070F
—
IN
Enumeration date
04/22/2009
Last updated
04/22/2009
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