# LARRY D RATTS MD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1902986623
- **Authorized official:** DR. LARRY D RATTS MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (812) 332-4468

## Contact information

- **Practice address:** 421 S LANDMARK AVE, BLOOMINGTON, IN 47403-5003
- **Practice address phone:** (812) 332-4468
- **Practice address fax:** (812) 331-3311
- **Mailing address:** 421 S LANDMARK AVE, BLOOMINGTON, IN 47403-5003
- **Mailing address phone:** (812) 332-4468
- **Mailing address fax:** (812) 331-3311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01020171B | IN | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 08/22/2020