Organization
ENHANCED CARE GROUP CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BROACH (CEO)
(317) 480-2049
Entity
Organization
Contact information
Practice address
4084 PENDLETON WAY, SUITE 224, INDIANAPOLIS, IN 46226-5224
(317) 480-2049
Mailing address
4084 PENDLETON WAY, SUITE 224, INDIANAPOLIS, IN 46226-5224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01061214A
IN
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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