NPI 1013902394

Surgical Associates Southern Indiana, Psc

Organisation Surgery Physician Jeffersonville, IN

Practice location

Address: 301 Gordon Gutmann Blvd Suite 401, Jeffersonville, IN 47130-3764
Phone: (812) 282-0637
Fax: (812) 283-6330
Mailing address: 301 Gordon Gutmann Blvd Suite 401, Jeffersonville, IN 47130-3739

Authorised official

Name: Daniel C Macmillan
Title: President/Director
Phone: (812) 282-0637

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 50003241A (IN)

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Registry record

NPI: 1013902394
Entity type: Organization
NPI issued: 13 Sep 2005
Record last updated: 30 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.