Organization
MEDICAL ASSOCIATES OF GRANT COUNTY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL TUPAS BARRIDO JR. M.D. (PRESIDENT)
(765) 662-9870
Entity
Organization
Contact information
Practice address
610 N RIVER DR, MARION, IN 46952-2649
(765) 662-9870
(765) 662-9907
Mailing address
610 N RIVER DR, MARION, IN 46952-2649
(765) 662-9870
(765) 662-9907
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
50003969A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200207310
—
IN
Enumeration date
11/01/2006
Last updated
11/10/2015
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