Individual
MR. DOUGLAS A BIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
721 W 13TH ST, STE 321, JASPER, IN 47546-1855
(812) 482-7918
(812) 634-1644
Mailing address
721 W 13TH ST, STE 321, JASPER, IN 47546-1855
(812) 482-7918
(812) 634-1644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01038423A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000250922
BCBS
—
05
—
100102520C
—
IN
01
—
450494518100
CARE SOURCE
IN
Enumeration date
12/07/2005
Last updated
07/28/2008
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