Organization
ELITE HEALTHCARE OF MUNCIE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SEGRAVES (OWNER)
(765) 281-8883
Entity
Organization
Contact information
Practice address
3417 W BETHEL AVE STE A, MUNCIE, IN 47304-7504
(765) 281-8883
(765) 281-8884
Mailing address
3417 W BETHEL AVE STE A, MUNCIE, IN 47304-7504
(765) 281-8883
(765) 281-8884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01027232A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003894B
IN
Other
Enumeration date
12/10/2013
Last updated
02/25/2014
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