Clark Brittain Do Pc | |
642 S Walker St Bloomington IN 47403-2158 | |
(812) 331-9160 | |
(812) 336-0277 |
Full Name | Clark Brittain Do Pc |
---|---|
Speciality | Obstetrics & Gynecology - Gynecology |
Location | 642 S Walker St, Bloomington, Indiana |
Authorized Official Name and Position | P. Clark Brittain (OWNER) |
Authorized Official Contact | 8123319160 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clark Brittain Do Pc 642 S Walker St Bloomington IN 47403-2158 Ph: (812) 331-9160 | Clark Brittain Do Pc 642 S Walker St Bloomington IN 47403-2158 Ph: (812) 331-9160 |
NPI Number | 1215908827 |
---|---|
Provider Enumeration Date | 01/31/2006 |
Last Update Date | 10/18/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215908827 | NPI | - | NPPES |
000000112969 | Other | IN | ANTHEM BS |
CJ4778 | Other | IN | TRAVELERS MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | (* (Not Available)) | Primary |
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