Organization
DUBOIS CO PHY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY BAUER (PRESIDENT)
(812) 481-2240
Entity
Organization
Contact information
Practice address
721 W 13TH ST STE 201, JASPER, IN 47546-1817
(812) 481-2240
(812) 481-2241
Mailing address
721 W 13TH ST STE 201, JASPER, IN 47546-1817
(812) 481-2240
(812) 481-2241
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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