Organization
CENTER FOR OPTIMAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELVIA A GREATHOUSE (M.D)
(812) 333-9650
Entity
Organization
Contact information
Practice address
415 W FIRST STREET, BLOOMINGTON, IN 47403
(812) 333-9650
Mailing address
415 W FIRST STREET, BLOOMINGTON, IN 47403
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
01064349
CO
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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