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Organization

PHYSICAL MEDICINE AND REHABILITATION OF EAST CENTRAL INDIANA, PC

Active
Other names
PMRECI, PC
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT BRIAN TAYLOR M.D. (OWNER)
(765) 584-3665
Entity
Organization

Contact information

Practice address
910 E WASHINGTON ST, SUITE 3, WINCHESTER, IN 47394-9221
(765) 584-3665
(765) 584-5604
Mailing address
910 E WASHINGTON ST, SUITE 3, WINCHESTER, IN 47394-9221
(765) 584-3665
(765) 584-5604

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01040142
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200167340A
IN
Enumeration date
10/07/2006
Last updated
09/29/2010
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