BLOOMINGTON ENT PC

BLOOMINGTON, IN
NPI1306816665
Entity TypeOrganization
Authorized ContactJESSE PHILLIPS
Owner
812-335-1300
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: IN  01040385A)
Enumeration Date2006-01-26
Last Update Date2008-04-15
Business Address
BLOOMINGTON ENT PC
1791 W 3RD ST
BLOOMINGTON, IN 47404-5029
Phone number: 812-335-1300
Mailing Address
BLOOMINGTON ENT PC
1791 W 3RD ST
BLOOMINGTON, IN 47404-5029
Phone number: 812-335-1300