NPI 1003280330

Aspen Leaf Emergency Physicians, LLC

Organisation Emergency Medicine Physician Valparaiso, IN

Practice location

Address: 85 East Us-6 Frontage Road, Valparaiso, IN 46383
Phone: (469) 401-2386
Mailing address: PO Box 80043, Philadelphia, PA 19101-1043

Authorised official

Name: Eddie Stone
Title: Officer
Phone: (469) 401-2386

Registered specialties (3)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1003280330
Entity type: Organization
NPI issued: 24 Nov 2015
Record last updated: 24 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.