Organization
C MICHAEL ACTON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C MICHAEL ACTON MD (PRESIDENT)
(812) 234-4409
Entity
Organization
Contact information
Practice address
1024 S 6TH ST, SUITE 205, TERRE HAUTE, IN 47807-5015
(812) 234-4409
Mailing address
1024 S 6TH ST, SUITE 205, TERRE HAUTE, IN 47807-5015
(812) 234-4409
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01023806A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084622
ANTHEM PIN
IN
Enumeration date
12/06/2005
Last updated
08/22/2020
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