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Individual

ERIC H ORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
550 LANDMARK AVE, BLOOMINGTON, IN 47403
(812) 333-5976
(812) 333-5978
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 333-5976
(812) 333-5978

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
02003057A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200814200
IN
Enumeration date
04/26/2006
Last updated
12/21/2020
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