Organization
SOUTHERN INDIANA PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD KRAMER (VICE PRESIDENT FINANCE)
(812) 378-7000
Entity
Organization
Contact information
Practice address
410 S CHESTNUT ST, SEYMOUR, IN 47274-2370
(812) 378-7000
Mailing address
410 S CHESTNUT ST, SEYMOUR, IN 47274-2370
(812) 378-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032854A
IN
363A00000X
Physician Assistant
1040351
IN
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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