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NPI Code Detail

MEDICARE: GENE R FLICK MD

MEDICARE: GENE R FLICK MD
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
12084P0800XPsychiatry Physician

Other Identifiers

General Provider Information

NPI Number : 1588653299
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENE R FLICK MD
Provider Business Mailing Address
First Line : PO BOX 3276
Second Line :
City : EVANSVILLE
State : IN
Zip : 47731-3276
Country : US
Telephone Number : 812-473-0181
Fax Number : 812-473-5822
Provider Business Practice Location Address
First Line : 5200 WASHINGTON AVE STE E
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-4863
Country : US
Telephone Number : 812-469-2040
Fax Number : 812-469-2042
Authorized Official
Title or Position : PRESIDENT
Name : GENE R FLICK
Credential : MD
Telephone Number : 812-469-2040
Provider Enumeration Date : 10/14/2005
Last Update Date : 07/14/2018

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