Individual
JAMES MATTHEW ANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
451 S PARK RIDGE RD, SUITE 101, BLOOMINGTON, IN 47401-8589
(812) 331-8282
(812) 331-8283
Mailing address
451 S PARK RIDGE RD, SUITE 101, BLOOMINGTON, IN 47401-8589
(812) 331-8282
(812) 331-8283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01051736A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200238830
—
IN
Enumeration date
06/16/2005
Last updated
12/13/2013
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