Organization
CLINIC OF R L OHALLORAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L OHALLORAN MD (OWNER)
(574) 267-2705
Entity
Organization
Contact information
Practice address
1055 MARINERS DR, WARSAW, IN 46582-9392
(574) 267-2705
Mailing address
1055 MARINERS DR, WARSAW, IN 46582-9392
(574) 267-2705
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
01056809A
IN
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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