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Organization

INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS UROLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY SHUMATE MD (UROLOGY MEDIAL DIRECTOR)
(812) 676-4300
Entity
Organization

Contact information

Practice address
1520 S LIBERTY DR, BLOOMINGTON, IN 47403-5167
(812) 676-4300
Mailing address
1520 S LIBERTY DR, BLOOMINGTON, IN 47403-5167
(812) 676-4300

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary

Other

Enumeration date
10/11/2023
Last updated
10/12/2023
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