Organization
ST. VINCENT HOSPITAL & HEALTH CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRETT ALLEN HUEBER LAT, ATC (ATHLETIC TRAINER)
(317) 750-9584
Entity
Organization
Contact information
Practice address
8227 NORTHWEST BLVD STE 160, INDIANAPOLIS, IN 46278-1386
(317) 415-5747
Mailing address
8227 NORTHWEST BLVD STE 160, INDIANAPOLIS, IN 46278-1386
(317) 415-5747
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002185A
IN
Other
Enumeration date
01/12/2014
Last updated
01/12/2014
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