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Organization

ST. VINCENT MEDICAL GROUP, INC.

Active
Other names
ASCENSION MEDICAL GROUP ST. VINCENT, WELLNESS - WESTFIELD
Organization subpart
No

Provider details

NPI number
Authorized official
DERIC ROBERTS (CFO - AECN (INDIANA))
(317) 694-3987
Entity
Organization

Contact information

Practice address
17300 WESTFIELD BLVD STE 200, WESTFIELD, IN 46074-1437
(317) 582-7014
Mailing address
250 W 96TH ST STE 520, INDIANAPOLIS, IN 46260-1317

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary

Other

Enumeration date
02/14/2025
Last updated
01/13/2026
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