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Individual

JAMES PATRICK FOUTS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 MARY ST, EVANSVILLE, IN 47747-0001
(812) 450-3405
(812) 450-3099
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-6815
(812) 450-6822

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01053587A
IN
207P00000X
Emergency Medicine Physician
34864
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000195763
BCBS - MARY STREET
IN
01
000000381078
BCBS - GATEWAY
IN
01
070163
HAMP #
IN
01
1951571
FIRST HEALTH #
IN
05
200320890
IN
05
323118214 PYE 1
IL
01
614066
HEALTHLINK #
IN
05
64438641
KY
01
7240252
AETNA #
IN
Enumeration date
09/12/2006
Last updated
07/21/2019
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