Organization
PHYSICIANS HOLISTIC HEALTH ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UTHMAN CAVALLO M.D. (PRESIDENT)
57427333880
Entity
Organization
Contact information
Practice address
230 E DAY RD, SUITE 180, MISHAWAKA, IN 46545-3408
(574) 273-3880
(574) 271-0918
Mailing address
230 E DAY RD, SUITE 180, MISHAWAKA, IN 46545-3408
(574) 273-3880
(574) 271-0918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IN
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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