Organization
SYCAMORE SPRINGS PHYSICIAN GROUP LLC
Active
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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