Graduated: 2018
NPI: 1790175602
Practice Locations (5)
PROVIDENCE MEDICAL GROUP, LLC
115 S MURPHY AVE, SUITE A
BRAZIL, IN 478348296
8122328164
PROVIDENCE MEDICAL GROUP, LLC
1214 E NATIONAL AVE, 110 PROVIDENCE MEDICAL GROUP
BRAZIL, IN 478342700
8122328164
PROVIDENCE MEDICAL GROUP, LLC
2723 S 7TH ST
TERRE HAUTE, IN 478023558
PROVIDENCE MEDICAL GROUP, LLC
2723 S 7TH ST A
TERRE HAUTE, IN 478023558
PROVIDENCE MEDICAL GROUP, LLC
2723 S 7TH ST C
TERRE HAUTE, IN 478023558
8122325936
Source: CMS National Downloadable File, September 2026.