Organization
SPRING MEDICAL CENTER PLLC
Active
Other names
AAA Weight Loss
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSAWARU JUDE OMORUYI MD (PRESIDENT)
(812) 725-7187
Entity
Organization
Contact information
Practice address
945 WALL ST, JEFFERSONVILLE, IN 47130-3620
(812) 725-7187
(812) 777-4492
Mailing address
945 WALL ST, JEFFERSONVILLE, IN 47130-3620
(812) 725-7187
(812) 777-4492
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
01066757C
IN
Other
Enumeration date
11/15/2016
Last updated
01/14/2017
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