Individual
DR. RICHARD A DEFELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-5220
(812) 885-3811
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3685
(812) 885-3917
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01039027
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200056750
—
IN
Enumeration date
09/13/2005
Last updated
07/14/2010
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