SOUTHERN INDIANA FAMILY PRACTICE CENTER PC

BLOOMINGTON, IN
NPI1770626152
Doing Business AsSOUTHERN INDIANA FAMILY PRACTICE CENTER
Entity TypeOrganization
Authorized ContactKAREN L. REID-RENNER
Owner
812-339-6744
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: IN  01055670a)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IN  71002130a)
Enumeration Date2007-02-15
Last Update Date2015-11-20
Business Address
SOUTHERN INDIANA FAMILY PRACTICE CENTER PC
3209 W FULLERTON PIKE STE A
BLOOMINGTON, IN 47403-4060
Phone number: 812-339-6744
Mailing Address
SOUTHERN INDIANA FAMILY PRACTICE CENTER PC
3209 W FULLERTON PIKE STE A
BLOOMINGTON, IN 47403-4060
Phone number: 812-339-6744