Organization
SPECIALTY ORTHOPEDICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY A MCPHERRON D.O. (PRESIDENT)
(574) 935-9395
Entity
Organization
Contact information
Practice address
2855 MILLER DR, SUITE 109, PLYMOUTH, IN 46563-8091
(574) 935-9395
(574) 935-0080
Mailing address
PO BOX 1507, PLYMOUTH, IN 46563-5507
(574) 935-9395
(574) 935-0080
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002777260
—
IN
Enumeration date
03/13/2007
Last updated
05/30/2008
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