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MR. PETER GREGORY IARIA P.A.-C
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1871643353
Individual Registrant:MR. PETER GREGORY IARIA P.A.-C
Gender: M
Not Sole Proprietor
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: --
Tel: 812-526-1120 Fax: --
Contact information for business:
6604 SOUTHERN CROSS DR INDIANAPOLIS, IN 46237-3908 US
Tel: 317-417-4449 Fax: --
Tel: 317-417-4449 Fax: --
Registration Information:
NPI: 1871643353
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | IN | 10000468A |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
