Individual
PHILIP CLARK BRITTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
642 S WALKER ST, BLOOMINGTON, IN 47403-2158
(812) 331-9160
(812) 336-0277
Mailing address
642 S WALKER ST, BLOOMINGTON, IN 47403-2158
(812) 331-9160
(812) 336-0277
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
02001508
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200016270
—
IN
Enumeration date
09/15/2005
Last updated
12/02/2020
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