Neurosurgical Clinic of Bloomington INC P.c.
NPI #1205821899 in Bloomington, Indiana
Provider Information
- NPI Number
- 1205821899
- Entity Type
- Organization
- Organization Name
- Neurosurgical Clinic of Bloomington INC P.c.
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 20, 2005
- Last Updated
- Mar 5, 2024
Practice Location
- Address
- 700 S COLLEGE AVE
- Address 2
- SUITE A
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47403-2500
- Phone
- (812) 331-8168
Authorized Official
- Name
- MARSHALL M. POOR, M.D.
- Title
- PRESIDENT
- Phone
- (812) 331-8168
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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