# AEGIS WOMEN'S HEALTHCARE

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

## Provider details

- **NPI number:** 1891825550
- **Authorized official:** DR. ANDY J STAFFORD M.D. (PRESIDENT)
- **Authorized official phone:** (812) 332-9217

## Contact information

- **Practice address:** 2920 MCINTIRE DR, SUITE 250, BLOOMINGTON, IN 47403-4221
- **Practice address phone:** (812) 332-9217
- **Practice address fax:** (812) 330-4474
- **Mailing address:** 2920 MCINTIRE DRIVE, SUITE 250, BLOOMINGTON, IN 47403-4221
- **Mailing address phone:** (812) 332-9217
- **Mailing address fax:** (812) 330-4474

## Taxonomy

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

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/22/2020