Individual
MARVIN COVEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3201
(812) 885-3175
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3201
(812) 885-3175
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10000178A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000597608
ANTHEM
IN
01
—
P00670398
RAILROAD MEDICARE
IN
Enumeration date
07/05/2006
Last updated
04/10/2015
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