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Individual

ELDA H SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4935 W ARLINGTON RD, BLOOMINGTON, IN 47404-1187
(812) 353-3800
(812) 353-3770
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01060150A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200511070
IN
Enumeration date
07/08/2005
Last updated
02/29/2016
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