TAYLOR ARTLEY

PROVIDENCE MEDICAL GROUP, LLC

Dr TAYLOR ARTLEY is a female medical professional, specializing in Physician Assistant. She graduated in 2018.

Contact

PROVIDENCE MEDICAL GROUP, LLC

2723 S 7TH ST A
TERRE HAUTE
IN
478023558

Tel: 8122328164

TAYLOR ARTLEY Information

Npi 1790175602
Pac Id 7315294006
Professional Enrollment Id I20180726001811
Last Name ARTLEY
First Name TAYLOR
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE MEDICAL GROUP, LLC
Group Practice Pac Id 9335135995
Number Of Group Practice Members 36
Line 1 Street Address 2723 S 7TH ST A
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TERRE HAUTE
State IN
Zip Code 478023558
Phone Number 8122328164
Hospital Affiliation Ccn 1 150023
Hospital Affiliation Lbn 1 UNION HOSPITAL INC
Hospital Affiliation Ccn 2 151309
Hospital Affiliation Lbn 2 ST. VINCENT CLAY HOSPITAL INC
Hospital Affiliation Ccn 3 151327
Hospital Affiliation Lbn 3 SULLIVAN COUNTY COMMUNITY HOSPITAL
Hospital Affiliation Ccn 4 151326
Hospital Affiliation Lbn 4 UNION HOSPITAL CLINTON
Hospital Affiliation Ccn 5 151333
Hospital Affiliation Lbn 5 PUTNAM COUNTY HOSPITAL
Professional Accepts Medicare Assignment Y

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