# JASPER OBSTETRICS AND GYNECOLOGY INC

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

## Provider details

- **NPI number:** 1881835106
- **Authorized official:** LINDA COLVIN (PRACTICE MANAGER)
- **Authorized official phone:** (812) 481-2709

## Contact information

- **Practice address:** 613 DORBETT ST, JASPER, IN 47546-2615
- **Practice address phone:** (812) 482-1289
- **Practice address fax:** (812) 482-3993
- **Mailing address:** 613 DORBETT ST, JASPER, IN 47546-2615
- **Mailing address phone:** (812) 482-1289
- **Mailing address fax:** (812) 482-3993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2009
- **Last updated:** 03/21/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200938170A | — | IN |