Individual
TOM F HRISOMALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 LANDMARK AVENUE, BLOOMINGTON, IN 47403
(812) 331-3400
(812) 332-7265
Mailing address
550 S LANDMARK AVE, PO BOX 550, BLOOMINGTON, IN 47403-3239
(812) 331-3400
(812) 332-7265
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01032806A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100355020
—
IN
Enumeration date
06/22/2005
Last updated
10/12/2016
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