Organization
COMMUNITY INTERNISTS & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET RIVANDRA (PRACTICE MANAGER)
(765) 453-8668
Entity
Organization
Contact information
Practice address
3505 S REED RD, KOKOMO, IN 46902-3838
(765) 453-8666
(765) 864-6785
Mailing address
3505 S REED RD, KOKOMO, IN 46902-3838
(765) 453-8666
(765) 864-6785
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200169400
—
IN
Enumeration date
01/05/2007
Last updated
01/26/2011
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