# ASSOCIATED PHYSICIANS & SURGEIONS CLINIC, LLC

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

## Provider details

- **NPI number:** 1508950460
- **Legal business name:** ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
- **Authorized official:** MR. MICHAEL P FOUTY (CFO/AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (812) 232-0564

## Contact information

- **Practice address:** 1214 E NATIONAL AVE, BRAZIL, IN 47834-2718
- **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 |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 11/06/2007