Organization
ALTEA MEDICAL INDIANA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KRUEGER (VP OF REVENUE CYCLE)
(888) 408-7008
Entity
Organization
Contact information
Practice address
2350 TAFT ST, GARY, IN 46404-3349
(888) 408-7008
Mailing address
400 E RIVULON BLVD STE 103, GILBERT, AZ 85297-0096
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
09/21/2023
Last updated
11/17/2025
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