Indiana University Sports Medicine | |
1001 E 17th St Assembly Hall Bloomington IN 47408-1590 | |
(812) 237-3883 | |
(972) 367-3451 |
Full Name | Indiana University Sports Medicine |
---|---|
Speciality | Family Medicine |
Location | 1001 E 17th St, Bloomington, Indiana |
Authorized Official Name and Position | Mouzon Bass (AGENT) |
Authorized Official Contact | 18005559073 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Indiana University Sports Medicine 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (800) 555-9073 | Indiana University Sports Medicine 1001 E 17th St Assembly Hall Bloomington IN 47408-1590 Ph: (812) 237-3883 |
NPI Number | 1336538917 |
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Provider Enumeration Date | 01/20/2015 |
Last Update Date | 01/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336538917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
News Archive
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