Individual
DR. SANDRA C. CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FAAP, CHCQM
Contact information
Practice address
350 S LANDMARK AVE, BLOOMINGTON, IN 47403-5001
(812) 335-2434
(812) 335-7604
Mailing address
350 S LANDMARK AVE, BLOOMINGTON, IN 47403-5001
(812) 335-2434
(812) 335-7604
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01078458A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049285000
—
FL
01
—
07762
BLUE SHIELD
FL
05
—
1235165317
—
VA
Enumeration date
06/23/2006
Last updated
07/21/2022
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