NPI 1538336037

St. Joseph Primary Care, LLC

Organisation Occupational Medicine Physician Kokomo, IN

Practice location

Address: 5111 Clinton Dr, Kokomo, IN 46902-7136
Phone: (765) 453-8800
Mailing address: 10330 N Meridian St Suite 201, Indianapolis, IN 46290-1024

Authorised official

Name: D. Bruce Haga
Title: Vice President
Phone: (317) 583-3087

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X

Other Preventive Medicine providers in Indiana →

Registry record

NPI: 1538336037
Entity type: Organization
NPI issued: 14 May 2008
Record last updated: 14 May 2008

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.