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ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC

Physicians Internal Medicine Allergy & Immunology

Provider NPI: 1932299633

Organization Information:
Organization Name:  ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
Organization is Subpart
Authorized Official:  MICHAEL P FOUTY  CFO/AUTHORIZED REPRESENTATIVE  812-232-0564

Practice Location:
700 S MAIN ST  CLINTON, IN 47842-2420 US
Tel: 812-232-0564  Fax: 812-242-3848

Business Mailing Address:
221 S 6TH ST  TERRE HAUTE, IN 47807-4214 US
Tel: 812-232-0564  Fax: 812-242-3848

NPI Information:
NPI: 1932299633
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RA0201XPhysicians
Internal Medicine
Allergy & Immunology
N207RC0000XPhysicians
Internal Medicine
N207RE0101XPhysicians
Internal Medicine
N207RH0003XPhysicians
Internal Medicine
N207X00000XPhysicians
Orthopaedic Surgery
N208800000XPhysicians
Urology
Y207R00000XPhysicians
Internal Medicine

Other Provider Identifiers:

IssuerNumberStateType
US DEPT OF LABOR017683501



American Medical Association 2012 taxonomy code information

Code: 207R00000X

Type:

Classification:



Definition:



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