# COUTINHO PC

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

## Provider details

- **NPI number:** 1538688163
- **Authorized official:** DR. RUSSEL B COUTINHO MD (OWNER)
- **Authorized official phone:** (812) 239-3836

## Contact information

- **Practice address:** 3901 S 7TH ST, TERRE HAUTE, IN 47802-5709
- **Practice address phone:** (812) 232-0021
- **Mailing address:** PO BOX 6157, TERRE HAUTE, IN 47802-6157
- **Mailing address phone:** (812) 234-0979
- **Mailing address fax:** (812) 232-6335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 01060691A | IN | Yes |

## Other

- **Enumeration date:** 09/14/2017
- **Last updated:** 09/14/2017