Organization
PROMPTSERVE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WALLS (OWNER/MANAGER)
(765) 352-8082
Entity
Organization
Contact information
Practice address
235 MORTON AVE, MARTINSVILLE, IN 46151-2471
(765) 352-8082
(765) 352-8082
Mailing address
235 MORTON AVE, MARTINSVILLE, IN 46151-2471
(765) 352-8082
(765) 352-8082
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004944B
IN
Other
Enumeration date
12/19/2014
Last updated
02/05/2015
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