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MR. PETER GREGORY IARIA P.A.-C

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

Registrant NPI Number: 1871643353

Individual Registrant:
MR. PETER GREGORY IARIA P.A.-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
CAMP ATTERBURY TROOP MEDICAL CLINIC BUILDING 2 EDINBURGH, IN 46124 US
Tel: 812-526-1120  Fax: --

Contact information for business:
6604 SOUTHERN CROSS DR  INDIANAPOLIS, IN 46237-3908 US
Tel: 317-417-4449  Fax: --

Registration Information:
NPI: 1871643353
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
IN10000468A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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