Organization
ACCOUNTING CARDINAL HEALTH VENTURES, INC.
Active
Other names
Ball State Employee QuickClinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R ROUTH MD (BOARD MEMBER)
(765) 751-3152
Entity
Organization
Contact information
Practice address
1500 NEELY AVE, MUNCIE, IN 47306-0001
(765) 751-3152
(765) 285-1454
Mailing address
3711 S MADISON ST, MUNCIE, IN 47302-5756
(765) 751-3152
(765) 285-1454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/10/2007
Last updated
11/26/2008
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