PROVIDENCE MEDICAL GROUP LLC

TERRE HAUTE, IN
NPI1891729141
Entity TypeOrganization
Authorized ContactGEORGE B BITTAR
Owner
812-232-8164
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2006-07-11
Last Update Date2020-10-09
Business Address
PROVIDENCE MEDICAL GROUP LLC
2723 S 7TH ST SUITE A
TERRE HAUTE, IN 47802-3558
Phone number: 812-232-8164
Mailing Address
PROVIDENCE MEDICAL GROUP LLC
2723 S 7TH ST SUITE A
TERRE HAUTE, IN 47802-3558
Phone number: 812-238-1730
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