Purdue Sports Medicine Wl
Purdue Sports Medicine Wl is a Sports Medicine (Internal Medicine) Physician in West Lafayette, Indiana. Registered with an NPI since 2014.
- In the registry since
- 2014
- Specialties on file
- 3
Practice location Address checks out
900 John R Wooden Drive Mackey ArenaWest Lafayette, IN 47907
Phone: (765) 494-3245
Fax: (765) 494-9899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopedic Physical Therapist (primary) | Taxonomy 2251X0800X |
|---|---|
| Sports Medicine (Internal Medicine) Physician | Taxonomy 207RS0010X |
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1053712570 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joan Vaughan — Hipaa Privacy Officer · (765) 496-1927 |
| NPI enumerated | September 16, 2014 |
| Last updated in NPPES | October 24, 2014 |
| Mailing address | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 |
Other providers in West Lafayette
-
Dr. Justin Ryan Lockrem, MD
900 N John R Wooden Dr, West Lafayette, IN 47907-2117 · (765) 494-3245