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GARY L. ARMOCK PA

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1699764308

Individual Registrant:
 GARY L. ARMOCK PA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
53880 CARMICHAEL DR  SOUTH BEND, IN 46635-1567 US
Tel: 574-247-9441  Fax: 574-247-9442

Contact information for business:
53880 CARMICHAEL DR  SOUTH BEND, IN 46635-1567 US
Tel: 574-247-9441  Fax: 574-247-9442

Registration Information:
NPI: 1699764308
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
IN10001078A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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