Organization
SAMANTHA MEEKS FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOREY RAINESALO (CREDIT MANAGER)
(765) 521-0808
Entity
Organization
Contact information
Practice address
3221 S MEMORIAL DR, SUITE B, NEW CASTLE, IN 47362-1123
(765) 521-0808
Mailing address
3221 S MEMORIAL DR, B, NEW CASTLE, IN 47362-1123
(765) 521-0808
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000462
IN
Other
Enumeration date
03/27/2007
Last updated
05/29/2008
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