| St. Elizabeth Physicians | |
|
204 Bridgeway St Aurora IN 47001-1334 | |
| (812) 926-3133 | |
| (812) 926-1668 |
| Full Name | St. Elizabeth Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 204 Bridgeway St, Aurora, Indiana |
| Authorized Official Name and Position | Glenn Loomis (PRESIDEN, CEO) |
| Authorized Official Contact | 8593443733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Elizabeth Physicians 2300 Chamber Center Dr Su. 200 Lakeside Park KY 41017-1673 Ph: (859) 344-5555 | St. Elizabeth Physicians 204 Bridgeway St Aurora IN 47001-1334 Ph: (812) 926-3133 |
| NPI Number | 1346515491 |
|---|---|
| Provider Enumeration Date | 03/21/2012 |
| Last Update Date | 03/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346515491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
Masoud Ghohestani Od Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Sycamore Estates Dr, Aurora, IN 47001 Phone: 812-926-4836 Fax: 812-926-4651 |