Organization
LA PORTE REGIONAL PHYSICIAN NETWORK, INC
Active
Organization
LA PORTE REGIONAL PHYSICIAN NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA VOLK (EXECUTIVE DIRECTOR)
(219) 326-2489
Entity
Organization
Contact information
Practice address
1300 STATE ST, SUITE 2A, LA PORTE, IN 46350-3185
(219) 325-3679
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01033345
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165070G
—
IN
Enumeration date
05/13/2009
Last updated
05/13/2009
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