Organization
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P FOUTY (CFO)
(812) 232-0564
Entity
Organization
Contact information
Practice address
2204 NO SECTION STREET, SUITE B, SULLIVAN, IN 47882-7523
(812) 268-2592
(812) 242-3543
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 232-0564
(812) 242-3861
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/19/2010
Last updated
10/25/2010
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