Individual
MRS. MARY C COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
406 FAIRGROUNDS RD, TIPTON, IN 46072-9596
(765) 675-2429
(765) 675-8222
Mailing address
PO BOX 358, TIPTON, IN 46072-0358
(765) 675-8153
(765) 675-8257
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01027749A
IN
207RG0100X
Gastroenterology Physician
Primary
01027749A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100000316
PALMETTO GBA
IN
05
—
100233720
—
IN
05
—
100233720B
—
IN
Enumeration date
01/27/2006
Last updated
10/22/2014
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