Organization
ST. MARY'S BREAST CENTER, LLC
Active
Parent organization
SETON HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
SETON HEALTH
Authorized official
VICKIE DETROY (DIRECTOR)
(812) 471-1591
Entity
Organization
Contact information
Practice address
100 ST MARYS EPWORTH XING STE A500, NEWBURGH, IN 47630-9698
(812) 485-4437
(812) 485-6890
Mailing address
PO BOX 138, EVANSVILLE, IN 47701-0138
(812) 471-1591
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/15/2014
Last updated
02/08/2017
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