Individual
JODY L SROF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1627 E BRISTOL ST, ELKHART, IN 46514-3817
(574) 262-0313
(574) 262-8163
Mailing address
1627 E BRISTOL ST, ELKHART, IN 46514-3817
(574) 262-0313
(574) 262-8163
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
70000044A
IN
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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