Organization
THE HUNTINGBURG CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY L BURGESON M.D. (PARTNER)
(812) 683-3612
Entity
Organization
Contact information
Practice address
214 E 17TH ST, HUNTINGBURG, IN 47542-9050
(812) 683-3612
(812) 683-2819
Mailing address
214 E 17TH ST, HUNTINGBURG, IN 47542-9050
(812) 683-3612
(812) 683-2819
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028935
IN
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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