| NPI | 1508159732 |
|---|---|
| Other Name | ST. VINCENT PHYSICIAN SERVICES |
| Entity Type | Organization |
| Authorized Contact | D. BRUCE HAGA Vice President 317-583-3087 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |