NEUROSURGICAL CLINIC OF BLOOMINGTON INC P.C. NPI 1205821899

NPI Information

NEUROSURGICAL CLINIC OF BLOOMINGTON INC P.C. is a specialist in Bloomington, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEUROSURGICAL CLINIC OF BLOOMINGTON INC P.C. NPI is 1205821899. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

700 S COLLEGE AVE
SUITE A
BLOOMINGTON, IN
ZIP 47403-500
Phone: (812) 331-8168
Fax: (812) 331-1096

The provider's authorized official is Marshall M. Poor .
The authorized official title is President and has the following contact phone number (812) 331-8168.

The enumeration date for this NPI number is 9/20/2005 and was last updated on 9/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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