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Organization

SYCAMORE SPRINGS PHYSICIAN GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREG MILLER (EVP, CFO)
(412) 588-3546
Entity
Organization

Contact information

Practice address
833 PARK EAST BLVD, LAFAYETTE, IN 47905-0785
(765) 743-4400
(765) 743-4411
Mailing address
833 PARK EAST BLVD, LAFAYETTE, IN 47905-0785
(765) 743-4400
(765) 743-4411

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
2084P0800X
Psychiatry Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
05/16/2014
Last updated
05/20/2020
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