Individual
LELAND R MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 W 1ST ST, BLOOMINGTON, IN 47403-2403
(812) 336-0168
(812) 335-7372
Mailing address
421 W 1ST ST, BLOOMINGTON, IN 47403-2403
(812) 336-0168
(812) 335-7372
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01021207
IN
207VG0400X
Gynecology Physician
Primary
01021207
IN
Other
Enumeration date
06/26/2006
Last updated
05/20/2010
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