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Individual

STEVEN L PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11109 PARKVIEW PLAZA DR, PSP HOSPITALIST, FORT WAYNE, IN 46845-1701
(260) 266-2020
(260) 266-2009
Mailing address
1234 E. DUPONT RD., STE 1, FORT WAYNE, IN 46825-1545
(260) 373-9700
(260) 373-9740

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01048951
IN
207R00000X
Internal Medicine Physician
Primary
010489511
IN
208M00000X
Hospitalist Physician
01048951A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000691733
ANTHEM
IN
05
200266420
IN
05
2581728
OH
01
P00916071
R.R MEDICARE
IN
Enumeration date
07/25/2006
Last updated
03/23/2013
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