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Organization

ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC

Active
Parent organization
ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
Authorized official
MICHAEL P FOUTY (CFO/AUTHORIZED REPRESENTATIVE)
(812) 232-0564
Entity
Organization

Contact information

Practice address
1739 N 4TH ST, TERRE HAUTE, IN 47804-4002
(812) 232-0564
(812) 242-3848
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 232-0564
(812) 242-3848

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
2084N0400X
Neurology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0176835
US DEPT OF LABOR
05
100249630S
IN
Enumeration date
10/31/2006
Last updated
08/04/2008
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