NPI 1184860512
Indiana Physician Services LLC
Practice location
- Address
- 85 E US Highway 6, Valparaiso, IN 46383-8947
- Phone
- (219) 983-8300
- Mailing address
- 5665 New Northside Dr NW Suite 320, Atlanta, GA 30328-5831
Authorised official
- Name
- Christopher Brian Durham
- Title
- President
- Phone
- (770) 874-5400
Registered specialties
Emergency Medicine Physician
Primary
Registry record
- NPI
- 1184860512
- Entity type
- Organization
- NPI issued
- 7 Jan 2009
- Record last updated
- 3 Mar 2017
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.