Individual
DR. PRIMO A ANDRES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 E HOSPITAL LN, TERRE HAUTE, IN 47802-4245
(812) 238-1521
(812) 232-0341
Mailing address
455 E HOSPITAL LN, TERRE HAUTE, IN 47802-4245
(812) 238-1521
(812) 232-0341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01029981A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100326550A
—
IN
Enumeration date
02/08/2006
Last updated
09/18/2008
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