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Organization

ST VINCENT MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN STEWART (CHIEF EXECUTIVE OFFICER)
(317) 583-5455
Entity
Organization

Contact information

Practice address
8425 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
(317) 471-4098
Mailing address
PO BOX 636781, CINCINNATI, OH 45263-6781
(317) 471-4098

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Enumeration date
04/02/2010
Last updated
03/11/2011
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