Organization
WESTERN HEALTHCARE SERVICES INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M DAVIS III (OWNER)
(469) 364-3333
Entity
Organization
Contact information
Practice address
4011 S MONROE MEDICAL PARK BLVD, BLOOMINGTON, IN 47403-8000
(812) 825-1111
Mailing address
4932 SUNBEAM RD, JACKSONVILLE, FL 32257-6128
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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