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Organization
CENTER FOR ADVANCED LAPAROSCOPIC AND BARIATRIC SURGERY, LLC
Active
Organization
CENTER FOR ADVANCED LAPAROSCOPIC AND BARIATRIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BRADLEY RAY MD (PRESIDENT)
(812) 330-9962
Entity
Organization
Contact information
Practice address
506 W 2ND ST, BLOOMINGTON, IN 47403-2316
(812) 961-0370
(812) 330-9962
Mailing address
506 W 2ND ST, BLOOMINGTON, IN 47403-2316
(812) 330-9962
(812) 330-9967
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
04046774A
IN
Other
Enumeration date
09/19/2007
Last updated
11/09/2015
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