Organization
ST VINCENT MEDICAL GROUP INC
Active
Other names
ST VINCENT WOMEN'S HEALTH BOUTIQUE
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY MCNABB (COO)
(317) 583-3078
Entity
Organization
Contact information
Practice address
13420 N MERIDIAN ST, #115, CARMEL, IN 46032-1580
(317) 582-8080
Mailing address
10330 N MERIDIAN ST, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/22/2015
Last updated
02/18/2015
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