Organization
ST. JOSEPH PRIMARY CARE, LLC
Active
Other names
Kokomo Occupational Health
Organization subpart
No
Provider details
NPI number
Authorized official
D. BRUCE HAGA (VICE PRESIDENT)
(317) 583-3087
Entity
Organization
Contact information
Practice address
5111 CLINTON DR, KOKOMO, IN 46902-7136
(765) 453-8800
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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