IMA EAST PRIMARY CARE
Organization (NPI-2)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1184855272- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2605 E CREEKS EDGE DR, BLOOMINGTON, IN, 474018368
- Phone
- (812) 355-2300
- Fax
- (812) 355-3251
Specialties & Taxonomies
Family Medicine, Sports Medicine
Primary License: IN #01066805A