Organization
ST. MARY'S PHYSICIANS' HEALTH GROUP, LLC
Active
Other names
Bryan Glynn Laura
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN KEIL (OPERATIONS MANAGER)
(812) 485-1827
Entity
Organization
Contact information
Practice address
801 SAINT MARYS DR, SUITE 302-E, EVANSVILLE, IN 47714-0511
(812) 485-4141
Mailing address
801 SAINT MARYS DR, SUITE 302-E, EVANSVILLE, IN 47714-0511
(812) 485-4141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01037535A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200903430E
—
IN
Enumeration date
06/19/2008
Last updated
09/12/2011
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