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Organization
IMA EAST PRIMARY CARE
Active
Organization
IMA EAST PRIMARY CARE
Active
Parent organization
IMA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMA, INC.
Authorized official
WESLEY W RATLIF M.D. (PRESIDENT)
(812) 331-3400
Entity
Organization
Contact information
Practice address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 355-2300
(812) 355-3251
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 355-6900
(812) 355-3251
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
01066805A
IN
Other
Enumeration date
08/06/2009
Last updated
01/14/2010
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