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Organization
ST MARY'S MEDICAL GROUP, LLC
Active
Organization
ST MARY'S MEDICAL GROUP, LLC
Active
Other names
Ascension Medical Group St. Vincent Evansville
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL PAROD (CEO)
(812) 485-1502
Entity
Organization
Contact information
Practice address
3801 BELLEMEADE AVE STE 110, EVANSVILLE, IN 47714-0111
(812) 485-7330
Mailing address
250 W 96TH ST STE 520, INDIANAPOLIS, IN 46260-1317
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
NULL
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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