Organization
ANEW GYNECOLOGY AND WOMENS HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELVIA A GREATHOUSE M.D. (PHYSICIAN/OWNER)
(812) 333-9650
Entity
Organization
Contact information
Practice address
415 W 1ST ST, BLOOMINGTON, IN 47403-2403
(812) 333-9650
(812) 333-9680
Mailing address
415 W 1ST ST, BLOOMINGTON, IN 47403-2403
(812) 333-9650
(812) 333-9680
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
50005067A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200963610
—
IN
Enumeration date
09/03/2009
Last updated
01/11/2010
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