Organization
BLOOMINGTON BONE & JOINT CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY M FOX M.D. (PRESIDENT)
(812) 333-4000
Entity
Organization
Contact information
Practice address
639 S WALKER ST, SUITE E, BLOOMINGTON, IN 47403-2123
(812) 333-4000
(812) 323-3188
Mailing address
639 S WALKER ST, SUITE E, BLOOMINGTON, IN 47403-2123
(812) 333-4000
(812) 323-3188
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
07/07/2006
Last updated
05/20/2013
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