| Deaconess Medical Group - West | |
|
4600 W Lloyd Expy Evansville IN 47712-6517 | |
| (812) 450-6311 | |
| (812) 450-6317 |
| Full Name | Deaconess Medical Group - West |
|---|---|
| Speciality | Family Medicine |
| Location | 4600 W Lloyd Expy, Evansville, Indiana |
| Authorized Official Name and Position | Richard M Stivers (SR VICE PRESIDENT, CFO) |
| Authorized Official Contact | 8124503296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Medical Group - West Po Box 3407 Evansville IN 47733-3407 Ph: (812) 450-6815 | Deaconess Medical Group - West 4600 W Lloyd Expy Evansville IN 47712-6517 Ph: (812) 450-6311 |
| NPI Number | 1821038316 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 10/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821038316 | NPI | - | NPPES |
| CG1119 | Other | IN | RR MCARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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› Verified 6 days ago
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