# ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023107869
- **Legal business name:** ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
- **Authorized official:** MICHAEL P FOUTY (CFO/AUTHORIZED REPRESENTITIVE)
- **Authorized official phone:** (812) 232-0564

## Contact information

- **Practice address:** 4601 S 7TH ST, TERRE HAUTE, IN 47802-4522
- **Practice address phone:** (812) 232-0564
- **Practice address fax:** (812) 242-3848
- **Mailing address:** 221 S 6TH ST, TERRE HAUTE, IN 47807-4214
- **Mailing address phone:** (812) 232-0564
- **Mailing address fax:** (812) 242-3848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | — | NULL | — |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 07/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100249630Q | — | IN |