Organization
DOCTOR CONTRACT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS RADICE M.D. (MANAGER)
(812) 764-5322
Entity
Organization
Contact information
Practice address
3292 DIXIE RD SW, CORYDON, IN 47112-6333
(812) 764-5322
Mailing address
PO BOX 445, CORYDON, IN 47112-0445
(812) 764-5322
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
251J00000X
Nursing Care Agency
—
—
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
12/21/2005
Last updated
02/08/2010
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