Organization
WOMANS HEALTHCARE ASSOCIATES PC
Active
Parent organization
WOMANS HEALTHCARE ASSOCIATES
Other names
PREMIER HEALTHCARE FOR WOMEN
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOMANS HEALTHCARE ASSOCIATES
Authorized official
ROBERT IDESON (ADMINISTRATOR)
(765) 428-5888
Entity
Organization
Contact information
Practice address
3774 BAYLEY DR, SUITE B, LAFAYETTE, IN 47905-8651
(765) 807-2280
(765) 807-2281
Mailing address
PO BOX 7010, LAFAYETTE, IN 47903-7010
(765) 428-5888
(765) 428-5897
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100230540B
—
IN
Enumeration date
10/26/2011
Last updated
08/25/2015
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