Ima East Primary Care

NPI 1184855272 - Family Medicine - 207QS0010X

NPI Details
NPI 1184855272
Enumeration Date 08/06/2009
Last Updated 01/14/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name WESLEY W WESLEY
Position PRESIDENT
Phone (812) 355-2300
Fax (812) 355-3251
Practice Location
2605 E CREEKS EDGE DR
BLOOMINGTON IN, 47401-8368, US
Phone (812) 355-2300
Fax (812) 355-3251
Business Location
550 S LANDMARK AVE
BLOOMINGTON IN, 47403-3239, US
Phone (812) 355-6900
Fax (812) 355-3251
Toxanomy
Taxonomy Code 207QS0010X
License State Indiana
License Number 01066805A
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According to our database, Ima East Primary Care NPI is 1184855272, taxonomy code is 207QS0010X and license number is 01066805A, license state is located at Indiana. Ima East Primary Care physically located at 2605 E Creeks Edge Dr, Bloomington IN, 47401-8368. NPI Number 1033115704 has the healthcare provider type.

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1184855272 NPI number is provided on an as is basis without warranty of any kind. 1184855272 is maintained by the National Plan & Provider Enumeration System. The contents of Ima East Primary Care are for informational purposes only.