BLOOMINGTON PHYSICIAN SERVICES PC

BLOOMINGTON, IN
NPI1164790341
Entity TypeOrganization
Authorized ContactMARK MANSHIP
President
800-893-9698
Organization Subpart ?No
Primary Taxonomy208M00000X Hospitalist
Additional Taxonomies363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2011-12-02
Last Update Date2012-02-03
Business Address
BLOOMINGTON PHYSICIAN SERVICES PC
4011 S MONROE MEDICAL PARK BLVD
BLOOMINGTON, IN 47403-8000
Phone number: 812-825-5777
Mailing Address
BLOOMINGTON PHYSICIAN SERVICES PC
200 CORPORATE BLVD SUITE 201
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698