Allergy & Asthma of Southern Indiana, P.c.
NPI #1861587156 in Bloomington, Indiana
Provider Information
- NPI Number
- 1861587156
- Entity Type
- Organization
- Organization Name
- Allergy & Asthma of Southern Indiana, P.c.
- Primary Specialty
- Allergy & Immunology
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Aug 8, 2011
Practice Location
- Address
- 485 S LANDMARK AVE
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47403-5005
- Phone
- (812) 334-1198
Authorized Official
- Name
- DR. DANIEL R MCCORMACK, D.O.
- Title
- PRESIDENT
- Phone
- (812) 334-1198
Specialties & Taxonomy Codes
| Specialty |
|---|
| Allergy & Immunology |
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