Organization
SAINT JOHN HEALTH SYSTEM
Active
Other names
MedOne, Rea, McGill, Carrel
Organization subpart
No
Provider details
NPI number
Authorized official
D BRUCE HAGA (VICE PRESIDENT)
(317) 583-3087
Entity
Organization
Contact information
Practice address
4925 S SCATTERFIELD RD, ANDERSON, IN 46013-2911
(765) 646-6331
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
05/18/2007
Last updated
12/18/2007
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