Organization
PREMIER HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY W RATLIFF M.D. (PRESIDENT)
(812) 355-6900
Entity
Organization
Contact information
Practice address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 355-2300
(812) 355-2302
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 355-6900
(812) 355-3251
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
07/21/2010
Last updated
05/09/2013
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