Organization
SOUTH CENTRAL INDIANA PATHOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET HUBER DO (PRESIDENT)
(812) 376-5322
Entity
Organization
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 376-5790
(812) 376-5431
Mailing address
PO BOX 1329, COLUMBUS, IN 47202-1329
(812) 418-0014
(812) 418-0076
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01036499A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100083310A
—
IN
Enumeration date
10/11/2006
Last updated
04/20/2023
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