Organization
ASCENSION MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE DOUGLAS (BILLING COORDINATOR)
(812) 485-8119
Entity
Organization
Contact information
Practice address
3838 N 1ST AVE, EVANSVILLE, IN 47710-3326
(812) 485-8119
Mailing address
3838 N 1ST AVE, EVANSVILLE, IN 47710-3326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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