# IMA EAST PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IMA, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184855272
- **Legal business name:** IMA, INC.
- **Authorized official:** WESLEY W RATLIF M.D. (PRESIDENT)
- **Authorized official phone:** (812) 331-3400

## Contact information

- **Practice address:** 2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
- **Practice address phone:** (812) 355-2300
- **Practice address fax:** (812) 355-3251
- **Mailing address:** 550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
- **Mailing address phone:** (812) 355-6900
- **Mailing address fax:** (812) 355-3251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 01066805A | IN | Yes |

## Other

- **Enumeration date:** 08/06/2009
- **Last updated:** 01/14/2010
