Organization
MARION PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA J MAGGARD (ACCOUNT MANAGER)
(765) 668-5989
Entity
Organization
Contact information
Practice address
1411 W BELLA DR, MARION, IN 46953-5250
(765) 668-5989
(765) 651-6642
Mailing address
1411 W BELLA DR, MARION, IN 46953-5250
(765) 668-5989
(765) 651-6642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200458820
—
IN
Enumeration date
10/18/2006
Last updated
06/18/2008
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