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NPI Code Detail

MEDICARE: GASTROENTEROLOGY OF SOUTHERN INDIANA, P.C.

MEDICARE: GASTROENTEROLOGY OF SOUTHERN INDIANA, P.C.
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
1207RG0100XGastroenterology Physician0103411IN

General Provider Information

NPI Number : 1356362693
Entity Type Code : Organization
Provider Name (Legal Business Name) : GASTROENTEROLOGY OF SOUTHERN INDIANA, P.C.
Provider Business Mailing Address
First Line : 2630 GRANT LINE RD
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-4053
Country : US
Telephone Number : 812-945-0145
Fax Number : 812-206-7089
Provider Business Practice Location Address
First Line : 2630 GRANT LINE RD
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-4053
Country : US
Telephone Number : 812-945-0145
Fax Number : 812-206-7089
Authorized Official
Title or Position : PRESIDENT
Name : STUART H COLEMAN
Credential : M.D.
Telephone Number : 812-945-0145
Provider Enumeration Date : 07/22/2006
Last Update Date : 07/24/2009

Similar Medicare Providers

1417955667 — DAVID MICHAEL DRESNER M.D.
Practice Location Address:
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1730187998 — JAMES CLETUS STROBEL M.D.
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1881692754 — STUART HUNT COLEMAN M.D.
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47150-4053
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1437141835 — DR. ABDUL JABBAR MD
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47150-4053
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1063465284 — MATTHEW DAVID MCCOLLOUGH M.D.
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