Organization
LEGACY PRIMARY CARE PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSEMARY E WEIR MD (PRESIDENT)
(812) 522-4084
Entity
Organization
Contact information
Practice address
120 SAINT LOUIS AVE, SEYMOUR, IN 47274-2304
(812) 522-4084
(812) 523-2013
Mailing address
PO BOX 427, SEYMOUR, IN 47274-0427
(812) 522-4084
(812) 523-2013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200379600A
—
IN
Enumeration date
10/03/2006
Last updated
10/07/2014
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