Individual
PATRICK PEK THAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2209 JOHN R WOODEN DR, MARTINSVILLE, IN 46151-1840
(765) 342-8411
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013087A
IN
Other
Enumeration date
09/20/2022
Last updated
11/17/2022
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