Philip Clark Brittain DO

NPI 1073508040 - Obstetrics & Gynecology - 207VG0400X

NPI Details
NPI 1073508040
Gender Male
Enumeration Date 09/15/2005
Last Updated 11/20/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
642 S WALKER ST
BLOOMINGTON IN, 47403-2158, US
Phone (812) 331-9160
Fax (812) 336-0277
Business Location
642 S WALKER ST
BLOOMINGTON IN, 47403-2158, US
Phone (812) 331-9160
Fax (812) 336-0277
Toxanomy
Taxonomy Code 207VG0400X
License State Indiana
License Number 02001508
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According to our database, Philip Clark Brittain DO NPI is 1073508040, taxonomy code is 207VG0400X and license number is 02001508, license state is located at Indiana. Philip Clark Brittain DO physically located at 642 S Walker St, Bloomington IN, 47403-2158. NPI Number Philip Clark Brittain DO has the Individual type.

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1073508040 NPI number is provided on an as is basis without warranty of any kind. 1073508040 is maintained by the National Plan & Provider Enumeration System. The contents of Philip Clark Brittain DO are for informational purposes only.