MEDICAL OF DUBOIS A PROFESSIONAL CORPORATION NPI 1184719155

NPI Information

MEDICAL OF DUBOIS A PROFESSIONAL CORPORATION is an urgent care clinic center in Jasper, IN. MEDICAL OF DUBOIS A PROFESSIONAL CORPORATION NPI is 1184719155. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

695 3RD AVE
JASPER, IN
ZIP 47546-602
Phone: (812) 634-6824
Fax: (812) 848-2277

The provider's authorized official is Thomas E Field .
The authorized official title is President and has the following contact phone number (812) 634-6824.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 5/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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