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Organization

SOUTHERN INDIANA ENDOSCOPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STUART H COLEMAN M.D. (MEDICAL DIRECTOR)
(812) 945-0145
Entity
Organization

Contact information

Practice address
2630 GRANT LINE RD, NEW ALBANY, IN 47150-4053
(812) 945-0145
(812) 206-7089
Mailing address
825 UNIVERSITY WOODS DR, SUITE 2, NEW ALBANY, IN 47150-2427
(812) 945-0145
(812) 949-5443

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
060028691
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200358660A
IN
Enumeration date
07/22/2006
Last updated
07/24/2009
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