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Organization
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Active
Organization
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P FOUTY (CRO)
(812) 242-3434
Entity
Organization
Contact information
Practice address
1000 N ALLEN ST, CRAWFORD MEMORIAL HOSPITAL SPECIALTY OUTREACH CLINIC, ROBINSON, IL 62454-1167
(618) 546-2591
(618) 546-2668
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 232-0564
(812) 242-3861
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
NULL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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