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Organization

ST. VINCENT MEDICAL GROUP, INC.

Active
Other names
ASCENSION MEDICAL GROUP ST. VINCENT, WELLNESS - DIXON ROAD
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN MORRIS (CFO)
(317) 338-6234
Entity
Organization

Contact information

Practice address
138 N DIXON RD, KOKOMO, IN 46901-4154
(765) 236-8282
Mailing address
250 W 96TH ST STE 520, INDIANAPOLIS, IN 46260-1317

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary

Other

Enumeration date
04/29/2022
Last updated
04/29/2022
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