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NPI Code Detail

MEDICARE: UNITY PHYSICIAN GROUP, PC

MEDICARE: UNITY PHYSICIAN GROUP, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1548488950
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITY PHYSICIAN GROUP, PC
Provider Business Mailing Address
First Line : PO BOX 4777
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47402-4777
Country : US
Telephone Number : 812-336-1690
Fax Number : 812-349-1311
Provider Business Practice Location Address
First Line : 650 N GIRLS SCHOOL RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46214-3672
Country : US
Telephone Number : 317-271-5080
Fax Number : 317-271-0698
Authorized Official
Title or Position : CEO
Name : DR. MICHAEL D BISHOP
Credential : MD
Telephone Number : 812-336-1690
Provider Enumeration Date : 04/23/2007
Last Update Date : 06/27/2008

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