Organization
MARATHON MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRINA C CHAPMAN-SMITH M.D. (OWNER)
(260) 925-0666
Entity
Organization
Contact information
Practice address
1306 E 7TH ST, SUITE C, AUBURN, IN 46706-2536
(260) 925-0666
(920) 925-0669
Mailing address
1306 E 7TH ST, SUITE C, AUBURN, IN 46706-2536
(260) 925-0666
(920) 925-0669
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01038514
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000104774
BC/BS GROUP NUMBER
IN
05
—
200185690A
—
IN
Enumeration date
04/10/2006
Last updated
10/06/2014
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