Organization
MEDICAL OF DUBOIS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E FIELD M.D. (PRESIDENT)
(812) 634-6824
Entity
Organization
Contact information
Practice address
695 3RD AVE, JASPER, IN 47546-3602
(812) 634-6824
(812) 848-2277
Mailing address
695 3RD AVE, JASPER, IN 47546-3602
(812) 634-6824
(812) 481-1056
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
01025667
IN
261QU0200X
Urgent Care Clinic/Center
Primary
01025667
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000310221
ANTHEM
IN
01
—
DF6038
MEDICARE RAILROAD
IN
Enumeration date
10/04/2006
Last updated
05/26/2016
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