Organization
ST. VINCENT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNE WEEMS (ATHLETIC TRAINER)
(937) 215-6422
Entity
Organization
Contact information
Practice address
8227 NORTHWEST BLVD, SUITE 160, INDIANAPOLIS, IN 46278-1387
(317) 415-5795
Mailing address
8227 NORTHWEST BLVD, SUITE 160, INDIANAPOLIS, IN 46278-1387
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
36002132A
IN
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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