IVY PAW

BLOOMINGTON, IN
NPI1891354619
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01087753A)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IN  11020586A)
Enumeration Date2019-06-06
Last Update Date2022-07-14
Business Address
IVY PAW MD
1520 S LIBERTY DR
BLOOMINGTON, IN 47403-5167
Phone number: 812-676-4500
Mailing Address
IVY PAW MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: