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Organization
SOUTHERN INDIANA DIABETES AND ENDOCRINOLOGY PC
Active
Organization
SOUTHERN INDIANA DIABETES AND ENDOCRINOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VASTI BROADSTONE MD (PHYSICIAN)
(812) 949-5700
Entity
Organization
Contact information
Practice address
2019 STATE ST, NEW ALBANY, IN 47150-4921
(812) 949-5700
(812) 949-5979
Mailing address
1008 FOX HUNTERS PT, NEW ALBANY, IN 47150-9251
(812) 949-5700
(812) 949-5979
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
03/11/2014
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