Organization
VINCENNES PODIATRY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK ALAN BESING D.P.M. (PODIATRIST)
(812) 882-3312
Entity
Organization
Contact information
Practice address
202 BROADWAY ST, VINCENNES, IN 47591-1228
(812) 882-3312
(812) 882-6181
Mailing address
PO BOX 943, VINCENNES, IN 47591-0943
(812) 882-3312
(812) 882-6181
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000905
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
254060
MEDICARE
IN
Enumeration date
09/22/2007
Last updated
12/05/2011
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