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Organization

INDIANA HEALTHCARE PHYSICIAN SERVICES, INC

Active
Parent organization
IHPS
Organization subpart
Yes

Provider details

NPI number
Legal business name
IHPS
Authorized official
BRETT J BRETT (C.O.O.)
(724) 357-8230
Entity
Organization

Contact information

Practice address
640 KOLTER DR, INDIANA, PA 15701-3570
(724) 357-7196
(724) 357-7279
Mailing address
640 KOLTER DR, INDIANA, PA 15701-3570
(724) 357-7196
(724) 357-7279

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017702500010
PA
Enumeration date
10/28/2016
Last updated
03/16/2018
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