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Organization
ST. VINCENT MEDICAL GROUP, INC
Active
Organization
ST. VINCENT MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN STEWART (PRESIDENT)
(317) 356-2273
Entity
Organization
Contact information
Practice address
1458 OAK ST, SUITE C, FRANKFORT, IN 46041-3379
(765) 654-3840
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
12/06/2012
Last updated
02/17/2013
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