Organization
FAMILY HEALTH PRACTITIONERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY JOHNSON N.P. (N.P.)
(812) 653-0312
Entity
Organization
Contact information
Practice address
909 RIVER OAK RUN, FORT WAYNE, IN 46804-3543
(812) 653-0312
Mailing address
909 RIVER OAK RUN, FORT WAYNE, IN 46804-3543
(812) 653-0312
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
IN
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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