Organization
ST. VINCENT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL ROSE STREET AU.D. (AUDIOLOGIST)
(317) 415-9265
Entity
Organization
Contact information
Practice address
13914 STATE ROAD 238 E, #206, FISHERS, IN 46037-5506
(317) 415-9260
(317) 415-9264
Mailing address
13914 STATE ROAD 238 E, #206, FISHERS, IN 46037-5506
(317) 415-9260
(317) 415-9264
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
23002486A
IN
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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