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Organization

ST. VINCENT MEDICAL GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN STEWART (PRESIDENT)
(317) 356-2273
Entity
Organization

Contact information

Practice address
1458 OAK ST, SUITE C, FRANKFORT, IN 46041-3379
(765) 654-3840
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
208000000X
Pediatrics Physician
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
12/06/2012
Last updated
02/17/2013
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