Princeton Clinic LLC

NPI #1790021194 in Princeton, Indiana

Provider Information

NPI Number: 1790021194
Entity Type: Organization
Organization Name: Princeton Clinic LLC
Primary Specialty: Surgery
Enumeration Date: Dec 13, 2012
Last Updated: Dec 13, 2012

Practice Location

Address: 121 N HART ST
City: Princeton
State: Indiana
ZIP Code: 47670-1532
Phone: (812) 385-5820

Authorized Official

Name: KYLE G JOHNSON
Title: PRESIDENT/CEO
Phone: (812) 385-8306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Surgery	208600000X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. David G Purdom, M.D.	Surgery	Princeton	AI Deep Dive
DR. Bruce Christopher Inman, M.D.	Surgery	Avon	AI Deep Dive
DR. Karen Ann Tisinai, M.D.	Surgery	Terre Haute	AI Deep Dive
DR. Christopher A Lueking, M.D.	Surgery	Terre Haute	AI Deep Dive

Organizations

Provider Name	Specialty	City
Mohamed Hytham I Beck MD	Surgery	Princeton	AI Deep Dive

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