# MEDICAL OF DUBOIS A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184719155
- **Authorized official:** THOMAS E FIELD M.D. (PRESIDENT)
- **Authorized official phone:** (812) 634-6824

## Contact information

- **Practice address:** 695 3RD AVE, JASPER, IN 47546-3602
- **Practice address phone:** (812) 634-6824
- **Practice address fax:** (812) 848-2277
- **Mailing address:** 695 3RD AVE, JASPER, IN 47546-3602
- **Mailing address phone:** (812) 634-6824
- **Mailing address fax:** (812) 481-1056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 01025667 | IN | — |
| 261QU0200X | Urgent Care Clinic/Center | 01025667 | IN | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 05/26/2016