Organization
INDIANA MEDICAL SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER GIORDANO (CFO)
(812) 514-7217
Entity
Organization
Contact information
Practice address
455 E HOSPITAL LN, TERRE HAUTE, IN 47802-4245
(812) 238-1521
(812) 232-0341
Mailing address
455 E HOSPITAL LN, P.O. BOX 2240, TERRE HAUTE, IN 47802-4245
(812) 238-1521
(812) 232-0341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01029981
IN
174400000X
Specialist
01049692
IN
174400000X
Specialist
01049698
IN
Other
Enumeration date
09/20/2006
Last updated
06/01/2016
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