Organization
SOUTHERN INDIANA PATHOLOGISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRET R HUBER DO (OWNER/PRESIDENT)
(812) 918-3336
Entity
Organization
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 918-3336
(812) 918-5887
Mailing address
PO BOX 3631, EVANSVILLE, IN 47735-3631
(314) 849-3535
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200341600A
—
IN
Enumeration date
12/10/2005
Last updated
09/18/2023
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