Individual
DR. LUKE PORTWOOD FIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 355-6900
(812) 355-6912
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01087459A
IN
208600000X
Surgery Physician
48989
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100428850
—
KY
Enumeration date
04/16/2011
Last updated
08/23/2022
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