Organization
ST MARY'S MEDICAL GROUP, LLC
Active
Other names
Ascension Medical Group St. Vincent Evansville
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL PAROD (CEO)
(812) 485-1502
Entity
Organization
Contact information
Practice address
3801 BELLEMEADE AVE STE 110, EVANSVILLE, IN 47714-0111
(812) 485-7330
Mailing address
250 W 96TH ST STE 520, INDIANAPOLIS, IN 46260-1317
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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