Individual
PAMELA A MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2051 CLEVIDENCE BLVD, SUITE A, CLARKSVILLE, IN 47129-2278
(812) 282-1720
(812) 280-6636
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047781A
IN
207QA0401X
Addiction Medicine (Family Medicine) Physician
01047781A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000547192
ANTHEM - NORTON
IN
05
—
200215460
—
IN
Enumeration date
03/08/2006
Last updated
10/28/2019
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