Organization
BLOOMINGTON OBSTETRICS AND GYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LELAND R MATTHEWS MD (PARTNER)
(812) 336-0168
Entity
Organization
Contact information
Practice address
421 W 1ST ST, BLOOMINGTON, IN 47403-2403
(812) 336-0168
(812) 355-7372
Mailing address
421 W 1ST ST, BLOOMINGTON, IN 47403-2403
(812) 336-0168
(812) 335-7372
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
10/26/2007
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