# BLOOMINGTON OBSTETRICS AND GYNECOLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760427397
- **Authorized official:** LELAND R MATTHEWS MD (PARTNER)
- **Authorized official phone:** (812) 336-0168

## Contact information

- **Practice address:** 421 W 1ST ST, BLOOMINGTON, IN 47403-2403
- **Practice address phone:** (812) 336-0168
- **Practice address fax:** (812) 355-7372
- **Mailing address:** 421 W 1ST ST, BLOOMINGTON, IN 47403-2403
- **Mailing address phone:** (812) 336-0168
- **Mailing address fax:** (812) 335-7372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 10/26/2007