Southern Indiana Family Practice Center PC
NPI #1770626152 in Bloomington, Indiana
Provider Information
- NPI Number
- 1770626152
- Entity Type
- Organization
- Organization Name
- Southern Indiana Family Practice Center PC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Feb 15, 2007
- Last Updated
- Nov 20, 2015
Practice Location
- Address
- 3209 W FULLERTON PIKE
- Address 2
- STE A
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47403-4060
- Phone
- (812) 339-6744
Authorized Official
- Name
- KAREN L. REID-RENNER, MD
- Title
- OWNER
- Phone
- (812) 339-6744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Preferred Provider Organization |
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