ATHELITE ORTHOPEDICS AND SPORTS MEDICINE LLC NPI 1417287970

NPI Information

ATHELITE ORTHOPEDICS AND SPORTS MEDICINE, LLC is a foot and ankle surgery orthopaedic surgery in Bloomington, IN. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. ATHELITE ORTHOPEDICS AND SPORTS MEDICINE, LLC NPI is 1417287970. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

365 S PARK RIDGE RD
SUITE 102
BLOOMINGTON, IN
ZIP 47401-361
Phone: (812) 822-2675
Fax: (812) 822-2679

The provider's authorized official is Douglas Alan Flory .
The authorized official title is Member and has the following contact phone number (812) 822-2675.

The enumeration date for this NPI number is 1/6/2010 and was last updated on 1/6/2010.

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

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