Organization
ST. VINCENT MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MCANDREWS (VICE PRESIDENT)
(317) 583-3194
Entity
Organization
Contact information
Practice address
1258 OAK ST, SUITE A, FRANKFORT, IN 46041-3377
(765) 656-3830
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201060860H
—
IN
Enumeration date
08/30/2012
Last updated
08/30/2012
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