Organization
VINCENNES ORTHOPAEDIC SURGERY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY GLOSSER I MS (GROUP ADMINISTRATOR)
(812) 882-6972
Entity
Organization
Contact information
Practice address
1019 BAYOU ST, VINCENNES, IN 47591-2731
(812) 882-6972
(812) 885-2371
Mailing address
PO BOX 313, VINCENNES, IN 47591-0313
(812) 882-6972
(812) 885-2371
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100154180
—
IN
Enumeration date
02/08/2007
Last updated
11/15/2010
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