Organization
OCCUPATIONAL MEDICINE PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY PREOCANIN (PRACTICE OPERATIONS MANAGER)
(812) 754-1900
Entity
Organization
Contact information
Practice address
3605 NORTHGATE CT, SUITE 110, NEW ALBANY, IN 47150-6400
(812) 949-5749
(812) 949-5794
Mailing address
3605 NORTHGATE CT, SUITE 110, NEW ALBANY, IN 47150-6400
(812) 949-5749
(812) 949-5794
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2083X0100X
Occupational Medicine Physician
Primary
—
—
Other
Enumeration date
08/28/2007
Last updated
09/20/2007
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