Organization
BORIS VATEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS VATEL MD (PHYSICIAN)
(812) 422-7974
Entity
Organization
Contact information
Practice address
2015 MAXWELL AVE, EVANSVILLE, IN 47711-4359
(812) 422-7974
(812) 422-8163
Mailing address
2015 MAXWELL AVE, EVANSVILLE, IN 47711-4359
(812) 422-7974
(812) 422-8163
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01056148A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200837630
—
IN
Enumeration date
01/13/2011
Last updated
01/13/2011
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