Organization
PRIMA BELLA WOMEN'S HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN MEYER JONES M.D. (PRESIDENT OF CORPORATION)
(219) 462-0909
Entity
Organization
Contact information
Practice address
85 E US HIGHWAY 6, VALPARAISO, IN 46383-8947
(219) 462-0909
Mailing address
PO BOX 1024, VALPARAISO, IN 46384-1024
(219) 462-0909
(219) 462-9910
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
68000075A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201168900A
—
IN
Enumeration date
02/05/2013
Last updated
02/14/2024
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