Organization
GYNECOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W RICHEY MD (PRESIDENT)
(812) 339-6456
Entity
Organization
Contact information
Practice address
654 S WALKER ST, BLOOMINGTON, IN 47403-2159
(812) 339-6456
(812) 339-6219
Mailing address
PO BOX 7075, BLOOMINGTON, IN 47407-7075
(812) 339-6456
(812) 339-6219
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200002910A
—
IN
Enumeration date
07/03/2006
Last updated
05/18/2017
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