Organization
ST. VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER
Active
Parent organization
ST. VINCENT HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. VINCENT HEALTH
Authorized official
KYLE DEFUR (PRESIDENT)
(317) 338-7031
Entity
Organization
Contact information
Practice address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
(317) 338-7510
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
03/17/2011
Last updated
10/01/2013
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