Organization
BLOOMINGTON CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS J CALLI JR. M.D. (PRESIDENT CEO)
(812) 333-4327
Entity
Organization
Contact information
Practice address
822 W 1ST ST, SUITE 7, BLOOMINGTON, IN 47403
(812) 333-4327
(812) 961-1521
Mailing address
822 W 1ST ST, SUITE 7, BLOOMINGTON, IN 47403
(812) 333-4327
(812) 961-1521
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000104956
ANTHEM BC/BS
IN
01
—
110086318
TRAVELERS
—
05
—
200185840
—
IN
Enumeration date
12/14/2006
Last updated
10/07/2008
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