West Side Llc
Specialty details in registry · West Lafayette Bra, IN
At a glance
3412 Klondike Rd, West Lafayette Bra, IN 47906-5218
NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
3412 Klondike RdWest Lafayette Bra, IN 47906-5218
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 1223G0001X
- Enumeration date
- Aug 31, 2006
- Record updated
- Aug 22, 2020
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
1223G0001X · Primary
License reported: 12009311 IN
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
3412 Klondike RdWest Lafayette Bra, IN 47906-5218
- Phone
- (765) 463-6726
Mailing address
3412 KLONDIKE RDWEST LAFAYETTE BRA, IN 479065218
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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