Organization
PROCARE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE B BITTAR M.D. (MEMBER)
(812) 232-8164
Entity
Organization
Contact information
Practice address
2723 S 7TH ST, STE A, TERRE HAUTE, IN 47802-3558
(812) 238-1730
(812) 242-1565
Mailing address
2723 S 7TH ST, STE A, TERRE HAUTE, IN 47802-3558
(812) 238-1730
(812) 242-1565
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000597392
ANTHEM
IN
05
—
200946110A
—
IN
Enumeration date
09/24/2008
Last updated
12/04/2009
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