Organization
UROLOGY OF SOUTHEASTERN IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL D JARVIS (CEO)
(812) 933-0990
Entity
Organization
Contact information
Practice address
108 N ELM ST, BATESVILLE, IN 47006-1280
(812) 933-0990
(812) 933-0784
Mailing address
108 N ELM ST, BATESVILLE, IN 47006-1280
(812) 933-0990
(812) 933-0784
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35058527
OH
Other
Enumeration date
09/29/2006
Last updated
10/22/2007
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