Organization
MEDICAL ASSOCIATES OF GRANT COUNTY, P.C.
Active
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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