Organization
FRANCISCAN PHYSICIANS HOSPITAL, LLC
Active
Other names
FPH Spine Clinic South
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA GREEN (PRESIDENT)
(219) 922-4205
Entity
Organization
Contact information
Practice address
24 JOLIET ST, SUITE 101, DYER, IN 46311-1705
(219) 864-2059
(219) 864-2644
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
(219) 864-2649
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
07/08/2010
Last updated
02/24/2011
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