# ALLERGY & ASTHMA OF SOUTHERN INDIANA, P.C.

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

## Provider details

- **NPI number:** 1861587156
- **Authorized official:** DR. DANIEL R MCCORMACK D.O. (PRESIDENT)
- **Authorized official phone:** (812) 334-1198

## Contact information

- **Practice address:** 485 S LANDMARK AVE, BLOOMINGTON, IN 47403-5005
- **Practice address phone:** (812) 334-1198
- **Practice address fax:** (812) 334-1199
- **Mailing address:** 485 S LANDMARK AVE, BLOOMINGTON, IN 47403-5005
- **Mailing address phone:** (812) 334-1198
- **Mailing address fax:** (812) 334-1199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 50003795A | IN | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 08/08/2011