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Individual

DENISE K THORNBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
110 E 13TH ST, RUSHVILLE, IN 46173-2126
(765) 932-7591
(765) 932-7505
Mailing address
PO BOX 608, RUSHVILLE, IN 46173-0608
(765) 932-7591
(765) 932-7505

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
01027885
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000635551
ANTHEM BCBS
IN
05
100346440
IN
Enumeration date
06/15/2006
Last updated
04/19/2012
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