CREDO HEALTH GROUP LLC NPI 1407203672

NPI Information

CREDO HEALTH GROUP, LLC is a family medicine in Fort Wayne, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CREDO HEALTH GROUP, LLC NPI is 1407203672. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Credo Family Medicine.

The provider's business location address is:

10228 DUPONT CIRCLE DR E # 100B
FORT WAYNE, IN
ZIP 46825-611
Phone: (260) 432-6459

The provider's authorized official is Andrew J. Mullally .
The authorized official title is Owner and has the following contact phone number (260) 445-5829.

The enumeration date for this NPI number is 5/18/2016 and was last updated on 5/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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