Organization
SAINT JOHN'S HEALTH SYSTEM
Active
Other names
Children's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W MOORE (EXECUTIVE VICE PRESIDENT)
(765) 646-8105
Entity
Organization
Contact information
Practice address
15 W 19TH ST, ANDERSON, IN 46016-4306
(765) 646-8299
(765) 646-8672
Mailing address
15 W 19TH ST, ANDERSON, IN 46016-4306
(765) 646-8299
(765) 646-8672
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/28/2006
Last updated
08/22/2020
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