Provider First Line Business Practice Location Address:
NORTH AT UAP BONE & JOINT CENTER
Provider Second Line Business Practice Location Address:
LOWER LEVEL 1725 NORTH 5TH STREET
Provider Business Practice Location Address City Name:
TERRE HAUTE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-242-3062
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/29/2017