Organization
PATHOLOGY ASSOCIATES OF TERRE HAUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM D. DEPOND M.D. (PRESIDENT AND CHIEF MEDICAL OFFICER)
(812) 244-0100
Entity
Organization
Contact information
Practice address
1606 N 7TH STREET, TERRE HAUTE, IN 47804-2706
(812) 244-0100
(812) 232-1517
Mailing address
PO BOX 9524, TERRE HAUTE, IN 47808-9524
(812) 244-0100
(812) 232-1517
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252400
—
IN
Enumeration date
05/31/2005
Last updated
08/11/2010
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