Organization
ILLINOIS/INDIANA EM-I MEDICAL SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW W MULVEY MD (OFFICER)
(469) 401-2386
Entity
Organization
Contact information
Practice address
1141 HOSPITAL DR NW, CORYDON, IN 47112-2164
(812) 738-4251
Mailing address
PO BOX 80175, PHILADELPHIA, PA 19101-1175
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/19/2010
Last updated
04/06/2018
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